FORM 1023-EZ for EAGLE SPIRIT CAMPOUT

Field Data
EIN 84-3458910
Case Number EO-2019301-000477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAGLE SPIRIT CAMPOUT
Organization’s Mailing Address 218 DILL AVE
City GRAND COULEE
State WA
ZIP 99133
Accounting period End 12
Primary contact name AMANDA S KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY EMERT
PRESIDENT
218 DILL AVE
GRAND COULEE WA 99133

Officer/Director/Trustee Two

ERIC BETTENCOURT
SECRATARY
143 AVENIDA DOLORES
SAN CLEMENTE CA 92672

Officer/Director/Trustee Three

AMANDA KELLER
TREASURER
36 FURNEY ST
WENATCHEE WA 98801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 TIMOTHY EMERT
Signature Title PRESIDENT
Signature Date 10/24/19

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