FORM 1023-EZ for MICHIANA CHAPTER OF DELTA WATERFOWL

Field Data
EIN 83-0564913
Case Number EO-2018141-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHIANA CHAPTER OF DELTA WATERFOWL
Organization’s Mailing Address 1312 BASIN AVENUE
City BISMARCK
State ND
ZIP 58504
Accounting period End 2
Primary contact name LISA LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA LAWRENCE
PRESIDENT/SECRETARY
1312 BASIN AVENUE
BISMARCK ND 58504

Officer/Director/Trustee Two

JASON THARPE
VP/TREASURER
1312 BASIN AVENUE
BISMARCK ND 58504

Officer/Director/Trustee Three

LACEE DUTCHAK
DIRECTOR
1312 BASIN AVE
BISMARCK ND 58504

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/13
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 LISA LAWRENCE
Signature Title PRESIDENT/SECRETARY
Signature Date 5/16/18

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