FORM 1023-EZ for HEROES CHALLENGE

Field Data
EIN 83-1377595
Case Number EO-2019042-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEROES CHALLENGE
Organization’s Mailing Address 1549 RICHMOND AVE
City DU PONT
State WA
ZIP 98327
Accounting period End 12
Primary contact name LYNN COLVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN COLVIN
DIRECTOR OF OPERATIONS
1549 RICHMOND AVE
DUPONT WA 98327

Officer/Director/Trustee Two

DALTON SCHROTH
COMMUNITY OUTREACH CHAIR
7640 3RD WAY SE APT 28
LACEY WA 98503

Officer/Director/Trustee Three

RANDY FULKERSON
VETERAN COORDINATOR CHAIR
105 E HILLIARD
EUGENE OR 97404

Organization’s website HEROESCHALLENGE.NET
Organization’s email ADMIN@HEROESCHALLENGE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 JOHN COLVIN
Signature Title DIRECTOR OF OPERATIONS
Signature Date 2/7/19

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