FORM 1023-EZ for TOM GREEN MEMORIAL

Field Data
EIN 81-4986631
Case Number EO-2017044-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOM GREEN MEMORIAL
Organization’s Mailing Address 286 SW DOVER LN
City MADRAS
State OR
ZIP 97741
Accounting period End 12
Primary contact name SAMMEE GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY GREEN
PRESIDENT
286 SW DOVER LN
MADRAS OR 97741

Officer/Director/Trustee Two

CODY EVERY
VICE PRESIDENT
5700 W HWY 126
REDMOND OR 97756

Officer/Director/Trustee Three

KASEY EVERY
SECRETARY
5700 W HWY 126
REDMOND OR 97756

Officer/Director/Trustee Four

SAMMEE GREEN
TREASURE
286 SW DOVER LN
MADRAS OR 97741

Officer/Director/Trustee Five

RON OLIVER
DIRECTOR
2798 NE DARRAR DR
MADRAS OR 97741

Organization’s website
Organization’s email TOMGREENMEMORIAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
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
Signature Title
Signature Date

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