FORM 1023-EZ for CAMP CASCADE FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-5384462 |
| Case Number | EO-2015299-000281 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CAMP CASCADE FOUNDATION |
| Organization’s Mailing Address | 16220 SW NIGHTHAWK DR |
| City | BEAVERTON |
| State | CA |
| ZIP | 97007 |
| Accounting period End | 12 |
| Primary contact name | THOMAS P HARBOLT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
THOMAS HARBOLT
SECRETARY AND DIRECTOR
4435 ENCINAS DR
LA CANADA CA 91011-3114
Officer/Director/Trustee Two
DEAN DERRAH
PRESIDENT AND DIRECTOR
16220 SW NIGHTHAWK DR
BEAVERTON OR 97007
Officer/Director/Trustee Three
ROBERT CAVELL
DIRECTOR
1900 FRONT ST NE
SALEM OR 97301
Officer/Director/Trustee Four
KEVIN EAKIN
DIRECTOR
2527 NW WESTOVER RD
PORTLAND OR 97210
Officer/Director/Trustee Five
SAM LAPRAY
DIRECTOR
6990 CHAKARUN LANE
SALEM OR 97306
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/15/2015 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W99 - Public, Society Benefit - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes 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 | Yes |
| 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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