FORM 1023-EZ for GOSHEN AND PLEASANT HILL FIRE AND EMS FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-3720978 |
| Case Number | EO-2016320-000196 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GOSHEN AND PLEASANT HILL FIRE AND EMS FOUNDATION |
| Organization’s Mailing Address | 85880 1ST ST |
| City | EUGENE |
| State | OR |
| ZIP | 97405 |
| Accounting period End | 12 |
| Primary contact name | RILEY MOORE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RILEY MOORE
BOARD PRESIDENT
1290 E 18TH AVE 1
EUGENE OR 97403
Officer/Director/Trustee Two
MONS ROLL
TREASURER
1290 E 18TH AVE 1
EUGENE OR 97403
Officer/Director/Trustee Three
CAROL MCLEOD
VICE PRESIDENT
35700 WILLAMA VISTA ST
PLEASANT HILL OR 97455
Officer/Director/Trustee Four
SEBASTIEN ELY
SECRETARY
1520 TAYLOR ST
EUGENE OR 97402
Officer/Director/Trustee Five
RISHIKA KRISHNA
DIRECTOR
2250 PATTERSON ST 146
EUGENE OR 97405
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/31/2016 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T40 - Voluntarism Promotion |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| 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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