FORM 1023-EZ for SUSTAINALISM INTERNATIONAL

Field Data
EIN 47-3093367
Case Number EO-2017151-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUSTAINALISM INTERNATIONAL
Organization’s Mailing Address 664 MAIN STREET SUITE 451
City ROLLINSFORD
State NH
ZIP 03869-9998
Accounting period End 12
Primary contact name STEPHEN R TIEBOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTI BORST
PRESIDENT
190 GLENWOOD RD
WELLS ME 04090-6403

Officer/Director/Trustee Two

BARBARA WHITNEY
VICE PRESIDENT
160 OAK STREET
ROLLINSFORD NH 03860-5301

Officer/Director/Trustee Three

LYNETTE JOKILEHTO
SECRETARY
183 POST ROAD
WELLS ME 04090-3957

Officer/Director/Trustee Four

YULIA ROTHENBERG
TREASURER
5 CHARTERGRANT RD
DOVER NH 03820-5327

Officer/Director/Trustee Five

STEPHEN TIEBOUT
EXECUTIVE DIRECTOR
74 PINE STREET
ROLLINSFORD NH 03869-5617

Organization’s website WWW.SUSTAINALISM.ORG
Organization’s email SUSTAINALISM.LIVING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2015
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
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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