FORM 1023-EZ for MIKE OECHSNER MEMORIAL SCHOLARSHIP

Field Data
EIN 47-1956159
Case Number EO-2014274-000287
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIKE OECHSNER MEMORIAL SCHOLARSHIP
Organization’s Mailing Address PO BOX 8891
City LACEY
State WA
ZIP 98509
Accounting period End 12
Primary contact name MIKE OECHSNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE OECHSNER
CHAIR
PO BOX 8891
LACEY WA 98509

Officer/Director/Trustee Two

PATSY WITCHEY
SECRETARY
765 NW PENNSLVANIA AVE
CHEHALIS WA 98532

Officer/Director/Trustee Three

KATHIE WEST
TREASURER
460 SW 19TH
CHEHALIS WA 98532

Officer/Director/Trustee Four

DOUGLAS SNELLGROVE
TRUSTEE
1466 SE WASHINGTON AVE
CHEHALIS WA 98532

Officer/Director/Trustee Five

JEFFREY SMITH
TRUSTEE
108 SUNNYSIDE DRIVE
CENTRALIA WA 98531

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2014
Organization Incorporation State WA
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: 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 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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