FORM 1023-EZ for 5 MINUTES UNDERGROUND

Field Data
EIN 83-2974382
Case Number EO-2019052-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 5 MINUTES UNDERGROUND
Organization’s Mailing Address 29935 SW ROSE LN APT 66
City WILSONVILLE
State OR
ZIP 97070-8710
Accounting period End 12
Primary contact name CHAD HASTINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD HASTINGS
PRESIDENT
29935 SW ROSE LN APT 66
WILSONVILLE OR 97070-8710

Officer/Director/Trustee Two

SUSAN YOUNG
SECRETARY
1307 NE HOGAN PL
GRESHAM OR 97030-4179

Officer/Director/Trustee Three

DARRELL YOUNG
VICE PRESIDENT
1307 NE HOGAN PL
GRESHAM OR 97030-4179

Organization’s website WWW.5MINUTESUNDERGROUND.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 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 CHAD HASTINGS
Signature Title PRESIDENT
Signature Date 2/19/19

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