FORM 1023-EZ for SISTERS EAGLE AIRPORT EAA CHAPTER 1564 INC

Field Data
EIN 47-3769642
Case Number EO-2017100-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SISTERS EAGLE AIRPORT EAA CHAPTER 1564 INC
Organization’s Mailing Address 15820 BARCLAY DRIVE
City SISTERS
State OR
ZIP 97759
Accounting period End 12
Primary contact name SUE DOLEZAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN LANSBURG
DIRECTOR
160 SOUTH OAK STREET NO 430
SISTERS OR 97759

Officer/Director/Trustee Two

SAM MONTE
DIRECTOR
60860 DEFIANCE STREET
BEND OR 97702

Officer/Director/Trustee Three

SUE DOLEZAL
DIRECTOR
20922 KING DAVID AVENUE
BEND OR 97702

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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