FORM 1023-EZ for AMRIT LABS LTD

Field Data
EIN 83-3019344
Case Number EO-2019039-000934
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMRIT LABS LTD
Organization’s Mailing Address 817 EAST MOORHEAD CIR C
City BOULDER
State CO
ZIP 80305
Accounting period End 12
Primary contact name RIEN T HAVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RIEN HAVENS
EXECUTIVE DIRECTOR
817 E MOORHEAD CIR C
BOULDER CO 80305

Officer/Director/Trustee Two

DON HAVENS
FINANCE DIRECTOR
3889 HARBORVIEW DR UNIT 106
GIG HARBOR WA 98332

Officer/Director/Trustee Three

JACQUELYNE FISHER
SECRETARY
5003 MAIN ST UNIT 301
TACOMA WA 98407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RIEN HAVENS
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/6/19

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