FORM 1023-EZ for JW MEMORIAL FOUNDATION

Field Data
EIN 86-2705429
Case Number EO-2021099-001178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JW MEMORIAL FOUNDATION
Organization’s Mailing Address 6794 S VALOR D
City COEUR D ALENE
State ID
ZIP 83814
Accounting period End 12
Primary contact name SUSAN L WELCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN WELCH
PRESIDENT
6794 S VALOR RD
COEUR D ALENE ID 83814

Officer/Director/Trustee Two

ROBERT TYLER
CHAIRPERSON
44 BIRCH BEAUTY
PRIEST RIVER ID 83856

Officer/Director/Trustee Three

MICHAEL MATHER
VICE PRESIDENT
1292 HOFFMAN
COEUR D ALENE ID 83815

Organization’s website N/A
Organization’s email WELCHCHF2@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2021
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 SUSAN WELCH
Signature Title PRESIDENT
Signature Date 3/18/2021

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