FORM 1023-EZ for SANDI S FOUNDATION

Field Data
EIN 85-0577220
Case Number EO-2020230-000638
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANDI S FOUNDATION
Organization’s Mailing Address 34047 HAMPTON ROAD
City EUGENE
State OR
ZIP 97405
Accounting period End 12
Primary contact name DAVID E ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS HENTON
PRESIDENT
34047 HAMPTON ROAD
EUGENE OR 97405

Officer/Director/Trustee Two

WILEY HENTON
SECRETARY
88820 RUBY LANE
SPRINGFIELD OR 97478

Officer/Director/Trustee Three

COLBY HENTON
TREASURER
PO BOX 2219
JASPER OR 97438

Officer/Director/Trustee Four

CYNTHIA OLSON
DIRECTOR
34047 HAMPTON ROAD
EUGENE OR 97405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILEY HENTON
Signature Title SECRETARY
Signature Date 8/14/2020

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