FORM 1023-EZ for AAC FOUNDATION

Field Data
EIN 47-4034293
Case Number EO-2015159-000481
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AAC FOUNDATION
Organization’s Mailing Address 435 LINCOLN AVE
City EUGENE
State OR
ZIP 97401
Accounting period End 12
Primary contact name CLINTON LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLINTON LARSON
EXECUTIVE DIRECTOR/VOTING MEMBER
435 Lincoln St
EUGENE OR 97401

Officer/Director/Trustee Two

CARYN KIMBLE
TREASURER
435 LINCOLN ST
EUGENE OR 97401

Officer/Director/Trustee Three

DON HAKALA
PRESIDENT
435 LINCOLN ST
EUGENE OR 97401

Officer/Director/Trustee Four

TRAVIS JOSEPH
SECRETARY
435 LINCOLN ST
EUGENE OR

Organization’s website WWW.AACFOUNDATION.ORG
Organization’s email FOUNDATIONAAC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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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