FORM 1023-EZ for CHRISTIAN GAME DEVELOPERS CONFERENCE

Field Data
EIN 47-4057100
Case Number EO-2019357-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTIAN GAME DEVELOPERS CONFERENCE
Organization’s Mailing Address 2255 EQUESTRIAN LOOP S
City SALEM
State OR
ZIP 97302-2300
Accounting period End 12
Primary contact name TIM EMMERICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM EMMERICH
PRESIDENT
2255 EQUESTRIAN LOOP S
SALEM OR 97302

Officer/Director/Trustee Two

MATTHEW COLON
TREASURER
2580 NIGHTINGALE DRIVE
SAN JOSE CA 95125

Officer/Director/Trustee Three

MICHAEL HERRERA
SECRETARY
706 WALNUT DELL ROAD
PLATTEVILLE WI 53818

Officer/Director/Trustee Four

PETER CHURNESS
MEMBER
3425 24TH AVE CT NW
GIG HARBOR WA 98335

Officer/Director/Trustee Five

AMY GREEN
MEMBER
976 MONROE AVE
LOVELAND CO 80537

Organization’s website HTTP://CGDC.ORG
Organization’s email GRACEWORKSINTERACTIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIM EMMERICH
Signature Title PRESIDENT
Signature Date 12/19/2019
EIN 47-4057100
Case Number EO-2015197-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRISTIAN GAME DEVELOPERS CONFERENCE
Organization’s Mailing Address PO BOX 2613
City CORVALLIS
State OR
ZIP 97339-2613
Accounting period End 12
Primary contact name CHARLIE MAUCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIM EMMERICH
CEO
300 NE PINOT GRIS
CORVALLIS OR 97330-9810

Officer/Director/Trustee Two

CHARLES MAUCK
PRESIDENT
42450 NW PALACE DR
BANKS OR 97106-7161

Organization’s website WWW.CGDC.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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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