FORM 1023-EZ for LINCOLN COUNTY AGRICULTURE RELIEF

Field Data
EIN 85-3141051
Case Number EO-2021190-000065
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LINCOLN COUNTY AGRICULTURE RELIEF
Organization’s Mailing Address PO BOX 1255
City DAVENPORT
State WA
ZIP 99122
Accounting period End 12
Primary contact name RYAN JANKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM SCHARFF
PRESIDENT
PO BOX 1255
DAVENPORT WA 99122

Officer/Director/Trustee Two

DAVE HUBBARD
VICE PRESIDENT
27105 TELFORD RD N
DAVENPORT WA 99122

Officer/Director/Trustee Three

ALISON STEVESON
SECRETARY
39417 ELLIOT RD N
ALMIRA WA 99103

Officer/Director/Trustee Four

RYAN JANKE
TREASURER
PO BOX 129
DAVENPORT WA 99122

Officer/Director/Trustee Five

CHAD OVERMYER
DIRECTOR
PO BOX 764
DAVENPORT WA 99122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 Yes
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 TOM SCHARFF
Signature Title PRESIDENT
Signature Date 7/7/2021

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