FORM 1023-EZ for APPLEGATE NEIGHBORHOOD NETWORK

Field Data
EIN 82-3862649
Case Number EO-2018008-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPLEGATE NEIGHBORHOOD NETWORK
Organization’s Mailing Address PO BOX 114
City JACKSONVILLE
State OR
ZIP 97530-114
Accounting period End 12
Primary contact name PARK WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER BRATT
PRESIDENT
5317 THOMPSON CREEK RD
JACKSONVILLE OR 97530

Officer/Director/Trustee Two

MARINA WALKER
SECRETARY
PO BOX 213
JACKSONVILLE OR 97530

Officer/Director/Trustee Three

MARION HADDEN
TREASURER
4035 LITTLE APPLEGATE RD
JACKSONVILLE OR 97530

Officer/Director/Trustee Four

LUKE RUEDIGER
DIRECTOR
17607 ELLIOTT CREEK RD
JACKSONVILLE OR 97530

Officer/Director/Trustee Five

PARK WALKER
DIRECTOR
PO BOX 213
JACKSONVILLE OR 97530

Organization’s website APPLEGATENEIGHBORHOOD.NETWORK
Organization’s email INFO@APPLEGATENEIGHBORHOOD.NETWORK
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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 PARK WALKER
Signature Title DIRECTOR
Signature Date 1/4/18

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