FORM 1023-EZ for DELTA RECREATION INC

Field Data
EIN 84-2680317
Case Number EO-2021096-000917
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DELTA RECREATION INC
Organization’s Mailing Address PO BOX 1735
City BETHEL
State AK
ZIP 99559
Accounting period End 12
Primary contact name BRIAN LEFFERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN LEFFERTS
PRESIDENT
PO BOX 1735
BETHEL AK 99559

Officer/Director/Trustee Two

SHANE IVERSON
VICE PRESIDENT
PO BOX 948
BETHEL AK 99559-0948

Officer/Director/Trustee Three

JENNIFER DOBSON
SECRETARY
PO BOX 904
BETHEL AK 99559-0904

Officer/Director/Trustee Four

LORI STRICKLER
TREASURER
PO BOX 1735
BETHEL AK 99559-1735

Organization’s website
Organization’s email AK.LEFFERTS@ME.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2019
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 BRIAN LEFFERTS
Signature Title PRESIDENT
Signature Date 3/11/2021
EIN 84-2680317
Case Number EO-2021096-000917
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DELTA RECREATION INC
Organization’s Mailing Address PO BOX 1735
City BETHEL
State AK
ZIP 99559
Accounting period End 12
Primary contact name BRIAN LEFFERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN LEFFERTS
PRESIDENT
PO BOX 1735
BETHEL AK 99559

Officer/Director/Trustee Two

SHANE IVERSON
VICE PRESIDENT
PO BOX 948
BETHEL AK 99559-0948

Officer/Director/Trustee Three

JENNIFER DOBSON
SECRETARY
PO BOX 904
BETHEL AK 99559-0904

Officer/Director/Trustee Four

LORI STRICKLER
TREASURER
PO BOX 1735
BETHEL AK 99559-1735

Organization’s website
Organization’s email AK.LEFFERTS@ME.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2019
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 BRIAN LEFFERTS
Signature Title PRESIDENT
Signature Date 3/11/2021

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