FORM 1023-EZ for A WORLD FREE OF SUICIDE

Field Data
EIN 84-1948326
Case Number EO-2019329-000497
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A WORLD FREE OF SUICIDE
Organization’s Mailing Address 4325 COMMERCE ST STE 111-507
City EUGENE
State OR
ZIP 97402-5467
Accounting period End 12
Primary contact name AARON NOTEBOOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER LYDON
DIRECTOR - SECRETARY
4325 COMMERCE ST STE 111-507
EUGENE OR 97402-5467

Officer/Director/Trustee Two

DENNIS BOTTEM
DIRECTOR - PRESIDENT
4325 COMMERCE ST STE 111-507
EUGENE OR 97402-5467

Officer/Director/Trustee Three

CARSON LYDON
DIRECTOR
4325 COMMERCE ST STE 111-507
EUGENE OR 97402-5467

Officer/Director/Trustee Four

KAY KING
DIRECTOR
4325 COMMERCE ST STE 111-507
EUGENE OR 97402-5467

Officer/Director/Trustee Five

JARED GARBER
DIRECTOR
4325 COMMERCE ST STE 111-507
EUGENE OR 97402-5467

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER LYDON
Signature Title DIRECTOR - SECRETARY
Signature Date 11/22/19

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