FORM 1023-EZ for UGANDA FISTULA FUND FOR TERREWODE

Field Data
EIN 47-2304060
Case Number EO-2014325-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UGANDA FISTULA FUND FOR TERREWODE
Organization’s Mailing Address 2293 ALDER ST
City EUGENE
State OR
ZIP 97405
Accounting period End 12
Primary contact name BONNIE RUDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON HOWE
PRESIDENT; DIRECTOR
1916 9TH AVENUE WEST
SEATTLE WA 98119

Officer/Director/Trustee Two

MONICA STEPHENSON
TREASURER; DIRECTOR
1575 MAGNOLIA BLVD WEST
SEATTLE WA 98119

Officer/Director/Trustee Three

BONNIE RUDER
VICE-PRESIDENT; DIRECTOR
2293 ALDER ST
EUGENE OR 97405

Officer/Director/Trustee Four

CONNIE DIMARCO
SECRETARY; DIRECTOR
1920 WOODSON LOOP
EUGENE OR 97405

Officer/Director/Trustee Five

TOM BASCOM
DIRECTOR
2550 FAIRMOUNT BLVD
EUGENE OR 97403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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