FORM 1023-EZ for HALOS FOUNDATION INC

Field Data
EIN 84-2020391
Case Number EO-2019169-000433
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALOS FOUNDATION INC
Organization’s Mailing Address 11771 31ST ST SW
City DICKINSON
State ND
ZIP 58601
Accounting period End 12
Primary contact name BRANDY L JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDY JOHNSON
PRESIDENT, TREASURE
11771 31ST ST SW
DICKINSON ND 58601

Officer/Director/Trustee Two

MICHAEL JOHNSON
VICE PRESIDENT
11771 31ST ST SW
DICKINSON ND 58601

Officer/Director/Trustee Three

KATHLEEN PRESCOTT
SECRETARY
538 5TH AVE W
DICKINSON ND 58601

Officer/Director/Trustee Four

SANDI SHEAFOR
BOARD MEMBER
2506 6TH AVE E
WILLISTON ND 58801

Officer/Director/Trustee Five

BRANDY LEE
BOARD MEMBER
410 DAVIS ST
BURLINGTON ND 58722

Organization’s website
Organization’s email HALOSFOUNDATIONINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/19
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 BRANDY JOHNSON
Signature Title PRESIDENT, TREASURE
Signature Date 6/14/19

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