FORM 1023-EZ for VERNONIA PUBLIC BROADCASTING

Field Data
EIN 46-3895621
Case Number EO-2015355-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VERNONIA PUBLIC BROADCASTING
Organization’s Mailing Address 724 SPENCER AVE
City VERNONIA
State OR
ZIP 97064
Accounting period End 9
Primary contact name REO GARGOVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REO GARGOVICH
PRESIDENT/EXECUTIVE DIRECTOR
724 SPENCER AVE
VERNONIA OR 97064

Officer/Director/Trustee Two

BURDETTE ROBB
DIRECTOR
976 5TH AVE
VERNONIA OR 97064

Officer/Director/Trustee Three

WENDY BRISBIN
DIRECTOR
990 N MIST DR
VERNONIA OR 97064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2013
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
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 Yes
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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