FORM 1023-EZ for OREGON HIGH DESERT GROTTO

Field Data
EIN 47-3339850
Case Number EO-2015070-000860
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OREGON HIGH DESERT GROTTO
Organization’s Mailing Address 69219 LARIAT
City SISTERS
State OR
ZIP 97759-9546
Accounting period End 12
Primary contact name KARA MICKAELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRENT MCGREGOR
CHAIRMAN
17164 PINE DRIVE
SISTERS OR 97759-1477

Officer/Director/Trustee Two

TED HASSE
VICE CHAIRMAN
3868 N E ROYAL COURT
BEND OR 97701-8183

Officer/Director/Trustee Three

KARA MICKAELSON
SECRETARY TREASURER
69219 LARIAT
SISTERS OR 97759-9546

Organization’s website OHDGROTTO.CAVES.ORG
Organization’s email OHDGROTTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C36 - Forest Conservation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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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