FORM 1023-EZ for UPPER SIUSLAW KIDS ENRICHMENT PROJECT

Field Data
EIN 85-2988867
Case Number EO-2021152-000769
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPPER SIUSLAW KIDS ENRICHMENT PROJECT
Organization’s Mailing Address 11922 E MAPLETON RD
City MAPLETON
State OR
ZIP 97453
Accounting period End 12
Primary contact name DAVID E ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN WALKER
PRESIDENT
10967 NORTH FORK RD
MAPLETON OR 97453

Officer/Director/Trustee Two

MELISSA BUCKWALD
TREASURER
11934 E MAPLETON RD
MAPLETON OR 97453

Officer/Director/Trustee Three

ABBIE KIMBLE
SECRETARY
11610 1ST ST
MAPLETON OR 97453

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 SHAWN WALKER
Signature Title PRESIDENT
Signature Date 5/28/2021

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