FORM 1023-EZ for IADLEST FOUNDATION

Field Data
EIN 84-3545094
Case Number EO-2020044-000438
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IADLEST FOUNDATION
Organization’s Mailing Address 2596 N STOKESBERRY PLACE STE 160
City MERIDIAN
State ID
ZIP 83646
Accounting period End 12
Primary contact name MIKE BECAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BECAR
REGISTERED AGENT
1330 N MANSHIP PLACE
MERIDIAN ID 83642

Officer/Director/Trustee Two

BRIAN GRISHAM
PRESIDENT
3025 LEBANON ROAD
NASHVILLE TN 37214

Officer/Director/Trustee Three

KIM VICKERS
SECRETARY
6330 EAST HWY 290
AUSTIN TX 78723

Officer/Director/Trustee Four

DAN ZIVKOVICH
TREASURER
6 ADAMS STREET
RANDOLPH MA 02368

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2019
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M02 - Management & Technical Assistance
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL BECAR
Signature Title REGISTERED AGENT
Signature Date 2/11/2020

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