| Field | Data |
|---|---|
| EIN | 86-2008981 |
| Case Number | EO-2021089-000450 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HENLEY-KLAMATH MAT CLUB |
| Organization’s Mailing Address | 10766 PREDDY AVE |
| City | KLAMATH FALLS |
| State | OR |
| ZIP | 97603 |
| Accounting period End | 12 |
| Primary contact name | DUSTY TURNER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DUSTY TURNER
PRESIDENT
10766 PREDDY AVE
KLAMATH FALLS OR 97603
CHELSEA SHEARER
VICE PRESIDENT
10766 PREDDY AVE
KLAMATH FALLS OR 97603
JENNIFER TAPPAN
SECRETARY
10766 PREDDY AVE
KLAMATH FALLS OR 97603
CHARLOTTE CHANDLER
TREASURY
10766 PREDDY AVE
KLAMATH FALLS OR 97603
CRISSY VAUGHAN
AT LARGE
10766 PREDDY AVE
KLAMATH FALLS OR 97603
| Organization’s website | |
|---|---|
| Organization’s email | DUSTYTURNER1975@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/9/2021 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N50 - Recreational, Pleasure, or Social Club |
| 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 | 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 | DUSTY TURNER |
| Signature Title | PRESIDENT |
| Signature Date | 2/11/2021 |
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