FORM 1023-EZ for WHITEFIELD FOUNDATION

Field Data
EIN 82-3491334
Case Number EO-2017328-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHITEFIELD FOUNDATION
Organization’s Mailing Address 2407 PACIFIC AVENUE SOUTHEAST
City OLYMPIA
State WA
ZIP 98501-8806
Accounting period End 12
Primary contact name CHRISTOPHER MADILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER MADILL
CHAIRMAN
2407 PACIFIC AVE SE
OLYMPIA WA 98501-8806

Officer/Director/Trustee Two

ADAM CRAMER
DIRECTOR
2407 PACIFIC AVE SE
OLYMPIA WA 98501-8806

Officer/Director/Trustee Three

TOM NELSON
DIRECTOR
2407 PACIFIC AVE SE
OLYMPIA WA 98501-8806

Officer/Director/Trustee Four

SCOTT WILSON
DIRECTOR
2407 PACIFIC AVE SE
OLYMPIA WA 98501-8806

Officer/Director/Trustee Five

JOHN HARRISON
DIRECTOR
2407 PACIFIC AVE SE
OLYMPIA WA 98501-8806

Organization’s website THEWHITEFIELDFOUNDATION.ORG
Organization’s email CHRIS@ATLASDENTISTRY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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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