FORM 1023-EZ for LONE PINE HISTORICAL SOCIETY INC

Field Data
EIN 81-3432229
Case Number EO-2016223-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONE PINE HISTORICAL SOCIETY INC
Organization’s Mailing Address 7950 NW LONE PINE RD
City TERREBONNE
State OR
ZIP 97760
Accounting period End 12
Primary contact name CHARLES HEGELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES HEGELE
PRESIDENT
7950 NW LONE PINE RD
TERREBONNE OR 97760

Officer/Director/Trustee Two

CARLLEEN HEGELE
SECRETARY
7950 NW LONE PINE RD
TERREBONNE OR 97760

Officer/Director/Trustee Three

STEVE KNOWLES
TREASURER
19371 PAIUTE CIRCLE
BEND OR 97702

Officer/Director/Trustee Four

TRAVIS HEGELE
VICE PRESIDENT
7950 NW LONE PINE RD
TERREBONNE OR 97760

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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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