FORM 1023-EZ for MODIE PARK CONSERVANCY INC

Field Data
EIN 82-0488820
Case Number EO-2016221-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MODIE PARK CONSERVANCY INC
Organization’s Mailing Address 702 GRELLE AVENUE
City LEWISTON
State ID
ZIP 83501
Accounting period End 12
Primary contact name PHILIP SHINN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP SHINN
PRESIDENT
702 GRELLE AVE
LEWISTON ID 83501-5172

Officer/Director/Trustee Two

DON BRIGHAM
VICE PRESIDENT
928 6TH ST
CLARKSTON WA 99403-2079

Officer/Director/Trustee Three

SHELLY DE ATLEY
SECRETARY
135 SOUTHPORT AVE
LEWISTON ID 83501-4523

Officer/Director/Trustee Four

ANN WALLACE
TREASURER
2009 RIDGEWAY DR
LEWISTON ID 83501-3886

Officer/Director/Trustee Five

BILL FURSTENAU
DIRECTOR
1011 PROSPECT AVE
LEWISTON ID 83501-2236

Organization’s website WWW.MODIEPARK.ORG
Organization’s email INFO@MODIEPARK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/1996
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C41 - Botanical Gardens, Arboreta and Botanical Organizations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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