FORM 1023-EZ for JACKSON COUNTY ARES

Field Data
EIN 84-1981849
Case Number EO-2019288-000579
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON COUNTY ARES
Organization’s Mailing Address 620 ANTELOPE ROAD
City WHITE CITY
State OR
ZIP 97503-1367
Accounting period End 4
Primary contact name STEPHEN BOSBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAKOTA OTTO
CHAIR
981 ANDERSON CREEK ROAD
TALENT OR 97540-7746

Officer/Director/Trustee Two

STEPHEN BOSBACH
VICE CHAIR
215 TOLMAN CREEK ROAD SPC 14
ASHLAND OR 97520-1367

Officer/Director/Trustee Three

CRYSTAL BOSBACH
SECRETARY
215 TOLMAN CREEK ROAD SPC 14
ASHLAND OR 97520-1367

Officer/Director/Trustee Four

PAUL PRINSEN
TREASURER
5060 GRIFFIN LANE
MEDFORD OR 97501-8511

Officer/Director/Trustee Five

STEVE GRIGSBY
MEMBER AT LARGE
204 SUNRISE AVENUE
MEDFORD OR 97504-6660

Organization’s website WWW.JCARES.ORG
Organization’s email JCINFO@JCARES.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 Yes
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 STEPHEN BOSBACH
Signature Title VICE CHAIR
Signature Date 10/13/19

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