FORM 1023-EZ for CRATER LAKE RIM RUN

Field Data
EIN 46-5582316
Case Number EO-2015244-000036
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRATER LAKE RIM RUN
Organization’s Mailing Address 1824 GINGER LANE
City KLAMATH FALLS
State OR
ZIP 97601
Accounting period End 12
Primary contact name ROB COFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROB COFFMAN
DIRECTOR
859 WEST VIEW DRIVE
KLAMATH FALLS OR 97603

Officer/Director/Trustee Two

KEN COFFMAN
DIRECTOR
1824 GINGER LANE
KLAMATH FALLS OR 97601

Officer/Director/Trustee Three

MARVIN DYKSTRA
DIRECTOR
1829 LAKEVIEW
KLAMATH FALLS OR 97601

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2013
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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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