FORM 1023-EZ for SUICIDE PREVENTION OF THE INLAND NORTHWEST
| Field | Data |
|---|---|
| EIN | 84-1770466 |
| Case Number | EO-2019207-000198 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SUICIDE PREVENTION OF THE INLAND NORTHWEST |
| Organization’s Mailing Address | PO BOX 2241 |
| City | LEWISTON |
| State | ID |
| ZIP | 83501 |
| Accounting period End | 12 |
| Primary contact name | FAYTH DICKENSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
FAYTH DICKENSON
CHAIR
523
LEWISTON DC 83501
Officer/Director/Trustee Two
STEVE BUTTON
SECRETARY/TREASURER
3722 15TH ST
LEWISTON ID 83501
Officer/Director/Trustee Three
VICKI DONOVAN
MEMBER, BOARD OF DIRECTORS
1418 16TH AVE
LEWISTON ID 83501
Officer/Director/Trustee Four
TYLER CURRY
MEMBER, BOARD OF DIRECTORS
428 VISTA AVE
LEWISTON ID 83501
Officer/Director/Trustee Five
BRENDA MCKENZIE
MEMBER, BOARD OF DIRECTORS
827 GRELLE AVE
LEWISTON ID 83501
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/1/19 |
| Organization Incorporation State | ID |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | FAYTH DICKENSON |
| Signature Title | CHAIR |
| Signature Date | 7/24/19 |
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