FORM 1023-EZ for FRIENDS OF MADHUBAN

Field Data
EIN 83-2421683
Case Number EO-2019028-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF MADHUBAN
Organization’s Mailing Address 20246 NW CEDAR LANE
City POULSBO
State WA
ZIP 98370
Accounting period End 12
Primary contact name CONNIE LOBO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE LOBO
CEO, CFO
20246 NW CEDAR LANE
POULSBO WA 98370

Officer/Director/Trustee Two

RACHEL BORSAVAGE
VICE CHAIR
25 MOONEY HILL ROAD
HOLMES NY 12531

Officer/Director/Trustee Three

CHERYL CHAFFEE
SECRETARY
7145 42 NE CT E
SARASOTA FL 34243

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 CONNIE LOBO
Signature Title CEO, CFO
Signature Date 12/14/18

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