FORM 1023-EZ for WILD RIVERS COAST FOUNDATION FOR DANCE

Field Data
EIN 81-3627205
Case Number EO-2016246-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILD RIVERS COAST FOUNDATION FOR DANCE
Organization’s Mailing Address 430 OAK ST SUITE 4
City BROOKINGS
State OR
ZIP 97415
Accounting period End 12
Primary contact name JAN BARBAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN BARBAS
PRESIDENT, DIRECTOR
95775 MARTIN RANCH RD
BROOKINGS OR 97415

Officer/Director/Trustee Two

SARAH VICTORIA GUYUNAY BURD
VICE-PRESIDENT, DIRECTOR
96455 CAPE FERRELO RD
BROOKINGS OR 97415

Officer/Director/Trustee Three

SHARON EBLEN
SECRETARY, DIRECTOR
95775 MARTIN RANCH RD
BROOKINGS OR 97415

Officer/Director/Trustee Four

ALYSSA BABIN
DIRECTOR
724 1ST ST
BROOKINGS OR 97415

Officer/Director/Trustee Five

CHRISTIAN COOPER
DIRECTOR
310 SPRUCE DRIVE
BROOKINGS OR 97415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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