FORM 1023-EZ for OREGON LAND AND WATER ALLIANCE

Field Data
EIN 47-2849543
Case Number EO-2015341-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OREGON LAND AND WATER ALLIANCE
Organization’s Mailing Address 1166
City SISTERS
State OR
ZIP 97759
Accounting period End 12
Primary contact name DAVID ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERRY NORQUIST
PRESIDENT
337
SISTERS OR 97759

Officer/Director/Trustee Two

BRUCE BOWEN
TREASURER
17212 PINE DRIVE
SISTERS OR 97759

Officer/Director/Trustee Three

DONNA LIPSCOMB
SECRETARY
579
SISTERS OR 97759

Officer/Director/Trustee Four

PAUL LIPSCOMB
VICE-PRESIDENT
579
SISTERS OR 97759

Officer/Director/Trustee Five

ANA BLAIR
DIRECTOR
69335 HAWKSFLIGHT DRIVE
SISTERS OR 97759

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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 Yes
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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