FORM 1023-EZ for ND AUSOME NARRATIVES EDUCATIONAL PROGRAM

Field Data
EIN 47-3379072
Case Number EO-2015167-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ND AUSOME NARRATIVES EDUCATIONAL PROGRAM
Organization’s Mailing Address 2801 34TH AVE S 274
City FARGO
State ND
ZIP 58104
Accounting period End 4
Primary contact name CAITLIN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAITLIN JOHNSON
CEO/PRESIDENT OF BOARD OF DIRECTORS
2801 34TH AVE S 274
FARGO ND 58104

Officer/Director/Trustee Two

CHARMAINE JOHNSON
VICE PRESIDENT BOARD OF DIRECTORS
9653 BIA 13
BELCOURT ND 58316

Officer/Director/Trustee Three

BRIAN JOHNSON
BOARD OF DIRECTORS
9653 BIA 13
BELCOURT ND 58316

Officer/Director/Trustee Four

LORRIE PATNAUDE
BOARD OF DIRECTORS
302 FREEDOM DRIVE
BELCOURT ND 58316

Officer/Director/Trustee Five

SHANE MARTIN
BOARD OF DIRECTORS
39 HENRY BUDD LANE
BELCOURT ND 58316

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2015
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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