FORM 1023-EZ for LOST RIVER ARTS AND CULTURAL ALLIANCE

Field Data
EIN 83-2065420
Case Number EO-2018276-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOST RIVER ARTS AND CULTURAL ALLIANCE
Organization’s Mailing Address PO BOX 595
City KENO
State OR
ZIP 97627
Accounting period End 12
Primary contact name JOYCE FURLONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY MATTHEWS
PRESIDENT
PO BOX 788
MERRILL OR 97633

Officer/Director/Trustee Two

ROBIN KING
VICE PRESIDENT
17575 MAUPIN RD
MALIN OR 97632

Officer/Director/Trustee Three

JOYCE FURLONG
SECRETARY
PO BOX 595
KENO OR 97627

Officer/Director/Trustee Four

RONNELL MATTHEWS
TREASURER
PO BOX 799
MERRILL OR 97633

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
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 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 JOYCE FURLONG
Signature Title SECRETARY
Signature Date 10/1/18

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