FORM 1023-EZ for ADVOCATES LEADING THEIR LIVES SELFADVOCACY NETWORK

Field Data
EIN 84-4520655
Case Number EO-2020038-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADVOCATES LEADING THEIR LIVES SELFADVOCACY NETWORK
Organization’s Mailing Address 600 E BOULEVARD AVE
City BISMARCK
State ND
ZIP 58505
Accounting period End 9
Primary contact name JULIANNE HORNTVEDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAKE ANDERSON
PRESIDENT
752 COTTAGE ROAD
GRAFTON ND 58237

Officer/Director/Trustee Two

SHERYL BEARD
VICE PRESIDENT
505 12TH ST WEST
WILLISTON ND 58801

Officer/Director/Trustee Three

CHASITY BROPST
SECRETARY
1700 11TH AVE NE APT 25
JAMESTOWN ND 58401

Officer/Director/Trustee Four

JULIANNE HORNTVEDT
TRUSTEE
4900 COLEMAN ST
BISMARCK ND 58503

Officer/Director/Trustee Five

SAMMIE AALUND
TREASURER
1101 11TH AVE SE
MINOT ND 58701

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2018
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 JULIANNE HORNTVEDT
Signature Title TRUSTEE
Signature Date 2/5/2020

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