FORM 1023-EZ for FOUR OAKS CHAPTER OF DELTA WATERFOWL

Field Data
EIN 84-4409558
Case Number EO-2020027-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUR OAKS CHAPTER OF DELTA WATERFOWL
Organization’s Mailing Address 1412 BASIN AVE
City BISMARCK
State ND
ZIP 58504-6963
Accounting period End 2
Primary contact name LISA LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA LAWRENCE
PRESIDENT
1412 BASIN AVE
BISMARCK ND 58504-6963

Officer/Director/Trustee Two

JASON THARPE
VICE PRESIDENT/COO
1412 BASIN AVE
BISMARCK ND 58504-6963

Officer/Director/Trustee Three

LACEE DUTCHAK
SECRETARY
1412 BASIN AVE
BISMARCK ND 58504-6963

Officer/Director/Trustee Four

BRIAN MOYSE
REGIONAL DIRECTOR
11377 OWEN CENTER RD
ROCKTON IL 61072

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 LISA LAWRENCE
Signature Title PRESIDENT
Signature Date 1/23/2020

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