FORM 1023-EZ for KNIGHTS CHARITIES OF OAK HARBOR

Field Data
EIN 82-2335533
Case Number EO-2017244-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KNIGHTS CHARITIES OF OAK HARBOR
Organization’s Mailing Address PO BOX 795
City OAK HARBOR
State WA
ZIP 98277
Accounting period End 12
Primary contact name PETE RIVERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER RIVERA
PRESIDENT
1622 NE 6TH AVE
OAK HARBOR WA 98277

Officer/Director/Trustee Two

LARRY PHILLIPS
VICE PRESIDENT
1391 DUFFERS LANE
OAK HARBOR WA 98277

Officer/Director/Trustee Three

RICHARD REZABECK
SECRETARY
136 TORRENCE LANE
OAK HARBOR WA 98277

Officer/Director/Trustee Four

DOUGLAS WARREN
TREASURE
3478 ALTAIR PLACE
OAK HARBOR WA 98277

Officer/Director/Trustee Five

DAVID MORGAN
VICE TREASURE
2400 NAVIGATOR LOOP
OAK HARBOR WA 98277

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W19 - Nonmonetary Support N.E.C.
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 Yes
Gaming Activity Yes
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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