FORM 1023-EZ for INLAND NORTHWEST JACKPOT

Field Data
EIN 86-1904734
Case Number EO-2021091-000128
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INLAND NORTHWEST JACKPOT
Organization’s Mailing Address P O BOX 518
City PRIEST RIVER
State ID
ZIP 83856
Accounting period End 12
Primary contact name SHARON DALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON DALTON
CHAIRMAN
P O BOX 518
PRIEST RIVER ID 83856-0518

Officer/Director/Trustee Two

JESSICA EDMONDSON
DIRECTOR
170 FOREST TRAIL
SANDPOINT ID 83864

Officer/Director/Trustee Three

ERIKA MCCALL
DIRECTOR
2048 SELLE RD
SANDPOINT ID 83864-7538

Officer/Director/Trustee Four

JAMIE WILLIAMS
DIRECTOR
644 MCNALL RD
SANDPOINT ID 83864-6105

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2021
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 SHARON DALTON
Signature Title CHAIRMAN
Signature Date 2/18/2021

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