FORM 1023-EZ for WILLOW QUEST

Field Data
EIN 82-5403363
Case Number EO-2018128-000787
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLOW QUEST
Organization’s Mailing Address 9728 E MCNELLY RD
City BENTONVILLE
State AR
ZIP 72712
Accounting period End 12
Primary contact name KATHLEEN SIEGENTHALER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN SIEGENTHALER
INCORPORATOR
9728 E MCNELLY RD
BENTONVILLE AR 72712

Officer/Director/Trustee Two

LYLE SIEGENTHALER
SECRETARY
9728 E MCNELLY RD
BENTONVILLE AR 72712

Organization’s website
Organization’s email KSIEGENTHALER@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHLEEN SIEGENTHALER
Signature Title INCORPORATOR
Signature Date 5/2/18

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