FORM 1023-EZ for ALTRUSA INTERNATIONAL FOUNDATION OFWASHINGTON COUNTY INC

Field Data
EIN 82-1208901
Case Number EO-2017174-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALTRUSA INTERNATIONAL FOUNDATION OFWASHINGTON COUNTY INC
Organization’s Mailing Address PO BOX 9993
City FAYETTEVILLE
State AR
ZIP 72703
Accounting period End 5
Primary contact name PENNY STORMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORINNE SMITH
PRESIDENT
1501 RIDGECREST
SPRINGDALE AR 72762

Officer/Director/Trustee Two

REBECCA WOOD
TREASURER
3801 NE OAKBROOKE
BENTONVILLE AR 72712

Officer/Director/Trustee Three

ROSE ANN PEARCE
VICE PRESIDENT
3164 W CROCKETT PL APT 6
FAYETTEVILLE AR 72701

Officer/Director/Trustee Four

PENNY STORMS
SECRETARY
16283 SHEFFIELD RD
SILOAM SPRINGS AR 72761

Organization’s website HTTP://TINYURL.COM/ALTRUSAWASHINGTONCOUNTY
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2017
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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