FORM 1023-EZ for NORTHERN LIGHTS OLIVER COLLECTORS

Field Data
EIN 46-5186449
Case Number EO-2017114-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN LIGHTS OLIVER COLLECTORS
Organization’s Mailing Address 101 OWENS ST
City DES LACS
State ND
ZIP 58733-0030
Accounting period End 12
Primary contact name JAMES NORLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES NORLIN
PRESIDENT
101 OWENS ST
DES LACS ND 58733-0030

Officer/Director/Trustee Two

ROBERT BRUHAUG
VICE PRESIDENT
19 COLTON AVE APT 5
BURLINGTON ND 58722

Officer/Director/Trustee Three

LANCE NORLIN
SECRETARY
17401 13TH ST NE
GLENBURN ND 58740-9586

Officer/Director/Trustee Four

AL BLOESSER
BOARD MEMBER
729 5TH ST NE
SIDNEY MT 59270

Officer/Director/Trustee Five

JOHN ADAMS
BOARD MEMBER
13605 109TH ST NW
FORTUNA ND 58844-9612

Organization’s website WWW.FACEBOOK.COM/NORTHERNLIGHTS.OLIVER
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2014
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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