FORM 1023-EZ for EASY BREEZY PAYEE SERVICES

Field Data
EIN 47-2833804
Case Number EO-2015065-000404
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EASY BREEZY PAYEE SERVICES
Organization’s Mailing Address 283 BREEZY LANE
City ROSEBURG
State OR
ZIP 97470
Accounting period End 1
Primary contact name DONALD HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTI HOWARD
PRESIDENT
283 BREEZY LANE
ROSEBURG OR 97470

Officer/Director/Trustee Two

RACHAEL HALL
TREASURER
1449 ULRICH
ROSEBURG OR 97471

Officer/Director/Trustee Three

KIM CARLSON
SECRETARY
504 HEWITT AVE
ROSEBURG OR 97470

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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