FORM 1023-EZ for DR AUDREY TERRELL INSTITUTE
| Field | Data |
|---|---|
| EIN | 81-1776122 |
| Case Number | EO-2016337-000343 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DR AUDREY TERRELL INSTITUTE |
| Organization’s Mailing Address | PO BOX 820030 |
| City | VANCOUVER |
| State | WA |
| ZIP | 98682 |
| Accounting period End | 2 |
| Primary contact name | DR AUDREY TERRELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AUDREY TERRELL
PRESIDENT
11611 NW 29TH PLACE
VANCOUVER WA 98685
Officer/Director/Trustee Two
ALICE SCOTT CLAY
TREASURER
21071 GARY DR APT 209
CASTRO VALLEY CA 94516
Officer/Director/Trustee Three
RUBI DIXON
DIRECTOR
162 MONTECITO APT A
OAKLAND CA 94610
Officer/Director/Trustee Four
BENNY WHITE
DIRECTOR
41624 WHITE TAIL LANE
CANTON MI 48188
Officer/Director/Trustee Five
TONY BROWN
DIRECTOR
2766 MARTIN LUTHER KIND BLVD
PORTLAND OR 97212
| Organization’s website | DRAUDREYTERRELL@DATINSTITUTE.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/22/2016 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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