FORM 1023-EZ for WASHBURN LIFE
| Field | Data |
|---|---|
| EIN | 84-4375185 |
| Case Number | EO-2021126-000279 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WASHBURN LIFE |
| Organization’s Mailing Address | PO BOX 608 |
| City | WASHBURN |
| State | ND |
| ZIP | 58577 |
| Accounting period End | 12 |
| Primary contact name | TONY THORESON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TONY THORESON
PRESIDENT
1512 19TH AVE SW
WILTON ND 58579
Officer/Director/Trustee Two
DONNA SOMMER
TREASURER
1416 NORTHGATE ROAD
WASHBURN ND 58577
Officer/Director/Trustee Three
RHONDA JOHNSON
SECRETARY
PO BOX 412
WASHBURN ND 58577
Officer/Director/Trustee Four
SHEILA HOFFERT
BOARD MEMBER
1127 NORTHGATE ROAD
WASHBURN ND 58577
Officer/Director/Trustee Five
MARK LELM
BOARD MEMBER
PO BOX 133
WASHBURN ND 58577
| Organization’s website | |
|---|---|
| Organization’s email | WAIA.WASHBURNLIFE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/29/2019 |
| Organization Incorporation State | ND |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S30 - Economic Development |
| 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 | TONY THORESON |
| Signature Title | PRESIDENT |
| Signature Date | 5/4/2021 |
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