FORM 1023-EZ for CLACKAMAS SWAT MEDICS ASSOCIATION
| Field | Data |
|---|---|
| EIN | 81-1227340 |
| Case Number | EO-2019331-000261 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CLACKAMAS SWAT MEDICS ASSOCIATION |
| Organization’s Mailing Address | 21854 NE LARKSPUR LN |
| City | FAIRVIEW |
| State | OR |
| ZIP | 97024 |
| Accounting period End | 12 |
| Primary contact name | ALAN KAISER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALAN KAISER
PRESIDENT
21854 NE LARKSPUR LN
FAIRVIEW OR 97024
Officer/Director/Trustee Two
SEAN BROWN
DIRECTOR
14995 S SPANGLER RD
OREGON CITY OR 97045
Officer/Director/Trustee Three
TYSON LOWTHER
DIRECTOR
1005 JOSEPHINE ST
OREGON CITY OR 97045
| Organization’s website | |
|---|---|
| Organization’s email | CLACKAMASSWATMEDICS@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/1/16 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M11 - Single Organization Support |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | ALAN KAISER |
| Signature Title | PRESIDENT |
| Signature Date | 11/25/19 |
| EIN | 81-1227340 |
| Case Number | EO-2016034-000229 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CLACKAMAS SWAT MEDICS ASSOCIATION |
| Organization’s Mailing Address | 17221 SE BARTELL RD |
| City | BORING |
| State | OR |
| ZIP | 97009 |
| Accounting period End | 12 |
| Primary contact name | ALAN KAISER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
ALAN KAISER
OFFICER
17221 SE BARTELL RD
BORING OR 97009
Officer/Director/Trustee Two
SEAN BROWN
OFFICER
14995 S SPANGLER RD
OREGON CITY OR 97045
Officer/Director/Trustee Three
TYSON LOWTHER
OFFICER
1005 JOSEPHINE ST
OREGON CITY OR 97045
Officer/Director/Trustee Four
KRISTIN LIND
OFFICER
2310 NE WEIDLER ST APT-9
PORTLAND OR 97232
Officer/Director/Trustee Five
FRAN LAWSON
OFFICER
6940 SW NORWOOD RD
TUALATIN OR 97062
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/26/2016 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E11 - Single Organization Support |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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