FORM 1023-EZ for MOUNTAIN VIEW FUNCTIONAL MEDICINE FOUNDATION INC

Field Data
EIN 85-2109689
Case Number EO-2020230-000759
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN VIEW FUNCTIONAL MEDICINE FOUNDATION INC
Organization’s Mailing Address 3365 E QUAD PARK STE 109
City POST FALLS
State ID
ZIP 83854-5905
Accounting period End 12
Primary contact name LEWIS CHARTRAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ORSUA
DIRECTOR
4652 E FENNEC FOX LANE
POST FALLS ID 83854

Officer/Director/Trustee Two

JON ENOS
DIRECTOR
6225 TEAK ST
POST FALLS ID 83854

Officer/Director/Trustee Three

JENNIFER POIRER
DIRECTOR
19656 N PINECONE RD
HAYDEN ID 83835

Officer/Director/Trustee Four

LEWIS CHARTRAND
DIRECTOR
601 E FRONT AVE STE 1503
COEUR D ALENE ID 83814

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2020
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 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 LEWIS CHARTRAND
Signature Title DIRECTOR
Signature Date 8/14/2020

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