FORM 1023-EZ for DEADWOOD CREEK SERVICES

Field Data
EIN 93-0714847
Case Number EO-2020010-000471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEADWOOD CREEK SERVICES
Organization’s Mailing Address 91792 DEADWOOD CREEK RD
City DEADWOOD
State OR
ZIP 97430
Accounting period End 12
Primary contact name MIKELLE LOAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKELLE LOAR
TREASURER
91966 DEADWOOD CK RD
DEADWOOD OR 97430

Officer/Director/Trustee Two

CARINA ROBICHEAUX
PRESIDENT
94016 DEADWOOD CK RD
DEADWOOD OR 97430

Officer/Director/Trustee Three

DANELLE SANDSTROM
SECRETARY
93246 BASSONETTE RD
DEADWOOD OR 97430

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/1978
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 MIKELLE LOAR
Signature Title TREASURER
Signature Date 1/8/2020

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