FORM 1023-EZ for SILVERTON WEDNESDAY COMMUNITY DINNER

Field Data
EIN 84-4290046
Case Number EO-2020021-000642
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SILVERTON WEDNESDAY COMMUNITY DINNER
Organization’s Mailing Address 645 SHELOKUM DRIVE
City SILVERTON
State OR
ZIP 97381-1889
Accounting period End 12
Primary contact name TODD FERRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD FERRELL
PRESIDENT
645 SHELOKUM DRIVE
SILVERTON OR 97381-1889

Officer/Director/Trustee Two

SHERRY PALMER
SECRETARY
207 ROCK ST
SILVERTON OR 97381-1818

Officer/Director/Trustee Three

JULIE BERSIN
TREASURER
15317 EVANS VALLEY RD NE
SILVERTON OR 97381-9296

Officer/Director/Trustee Four

JON DEBO
DIRECTOR
905 PIONEER DRIVE
SILVERTON OR 97381-8722

Officer/Director/Trustee Five

KAREN GARST
DIRECTOR
1205 TENINO DRIVE
SILVERTON OR 97381-2038

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 TODD FERRELL
Signature Title PRESIDENT
Signature Date 1/17/2020

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