FORM 1023-EZ for ALTRUSA INTERNATIONAL DISTRICT TWELVE FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-4355016 |
| Case Number | EO-2021242-000376 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ALTRUSA INTERNATIONAL DISTRICT TWELVE FOUNDATION |
| Organization’s Mailing Address | 3905 PENNSYLVANIA ST APT 17 |
| City | LONGVIEW |
| State | WA |
| ZIP | 98632 |
| Accounting period End | 5 |
| Primary contact name | ANNE DEFRANCISCO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RHONDA HAUTER
PRESIDENT
1309 32ND ST NW
GIG HARBOR WA 98335
Officer/Director/Trustee Two
BETTINA SCHEMPF
VICE PRESIDENT
3965 NW ELIZABETH PL
CORVALLIS OR 97333
Officer/Director/Trustee Three
CYNTHIA MOUNTS
SECRETARY
113 SW BALBOA AVE
ROSEBURG OR 97471
Officer/Director/Trustee Four
ANNE DEFRANCISCO
TREASURER
3905 PENNSYLVANIA ST APT 17
LONGVIEW WA 98632
Officer/Director/Trustee Five
SARAH JOHNSON
DIRECTOR
5419 BELL ST SE
TURNER OR 97392
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/2/2020 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes 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 | ANNE DEFRANCISCO |
| Signature Title | TREASURER |
| Signature Date | 8/26/2021 |
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