FORM 1023-EZ for ALTRUSA INTERNATIONAL MID-COLUMBIA

Field Data
EIN 82-4022884
Case Number EO-2020037-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALTRUSA INTERNATIONAL MID-COLUMBIA
Organization’s Mailing Address 575 HERITAGE HILLS DRIVE
City RICHLAND
State WA
ZIP 99352
Accounting period End 5
Primary contact name JENNIFER RICHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER RICHART
PRESIDENT
6005 WILDCAT LN
PASCO WA 99301

Officer/Director/Trustee Two

BRIDGET CANAZARO
PAST PRESIDENT
575 HERITAGE HILLS DRIVE
RICHLAND WA 99352

Organization’s website HTTPS://DISTRICTTWELVE.ALTRUSA.ORG/MID-COLUMBIA/
Organization’s email ALTRUSAMC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2018
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER RICHART
Signature Title PRESIDENT
Signature Date 2/4/2020

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