FORM 1023-EZ for TARA MEISNER MEMORIAL FOUNDATION

Field Data
EIN 47-3298544
Case Number EO-2015069-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TARA MEISNER MEMORIAL FOUNDATION
Organization’s Mailing Address PO BOX 20401
City KEIZER
State OR
ZIP 97307
Accounting period End 12
Primary contact name KAREN WILCKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN WILCKE
DIRECTOR
1055 RIDGEPOINT ST NE
KEIZER OR 97303

Officer/Director/Trustee Two

RYAN NOLIN
DIRECTOR
15 NE REDLOCK LANE
CASCADE LOCKS OR 97014

Officer/Director/Trustee Three

IVAN CRONICK
DIRECTOR
5804 N OBERLIN ST
PORTLAND OR 97203

Officer/Director/Trustee Four

TIMOTHY MISENER
DIRECTOR
1367 MEADOWLARK DR NE
KEIZER OR 97303

Organization’s website
Organization’s email TARAMEISNERFOUNDATION@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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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