FORM 1023-EZ for KINDRED OF SOUTHERN NORSE
| Field | Data |
|---|---|
| EIN | 82-3848314 |
| Case Number | EO-2018057-000477 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KINDRED OF SOUTHERN NORSE |
| Organization’s Mailing Address | 368 LOS BRONCOS |
| City | WHITEWATER |
| State | CO |
| ZIP | 81527 |
| Accounting period End | 12 |
| Primary contact name | BETH DIXON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LONNIE DIXON
CHIEF EXECUTIVE OFFICER
368 LOS BRONCOS
WHITEWATER CO 81527
Officer/Director/Trustee Two
DAVE CONRAD
CHEIF OPERATIONS OFFICER
3517 GOODFELLOW CT
WHITEWATER CO 81527
Officer/Director/Trustee Three
BETH DIXON
CHIEF FINANCIAL OFFICER
368 LOS BRONCOS
WHITEWATER CO 81527
Officer/Director/Trustee Four
ASHLEE DIXON
SECRETARY
398 SUMMER GLENN DR
GRAND JUNCTION CO 81501
Officer/Director/Trustee Five
LONNIE B DIXON JR
BOARD MEMBER
368 LOS BRONCOS
WHITEWATER CO 81527
| Organization’s website | HTTPS://KINDREDOFTHESOUTHERNNORSE.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/2/18 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: No 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 | 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 | No |
| Correctness Declaration | Yes |
| Signature Name | BETH DIXON |
| Signature Title | CHIEF FINANCIAL OFFICER |
| Signature Date | 2/23/18 |
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