FORM 1023-EZ for MAGIC WHEELCHAIR

Field Data
EIN 47-2144671
Case Number EO-2015096-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAGIC WHEELCHAIR
Organization’s Mailing Address 5258 VERDA LN NE
City KEIZER
State OR
ZIP 97303
Accounting period End 12
Primary contact name EARL CHRISTISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RYAN WEIMER
PRESIDENT
5258 VERDA LN NE
KEIZER OR 97303

Officer/Director/Trustee Two

MICHAEL LUCAS
TREASURER
595 ALLENDALE WAY NE 202
KEIZER OR 97303

Officer/Director/Trustee Three

TAMMY HAY
SECRETARY
18755 SHIRLEY AVE NE
HUBBARD OR 97032

Officer/Director/Trustee Four

ERICH LITOFF
BOARD MEMBER
15392 COBALT ST
SYLMAR CA 91342

Officer/Director/Trustee Five

DEBBIE LITOFF
BOARD MEMBER
15392 COBALT ST
SYLMAR CA 91342

Organization’s website WWW.MAGICWHEELCHAIR.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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
Signature Title
Signature Date

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