FORM 1023-EZ for HARNEY COUNTY SUPPORTING OUR STUDENTS

Field Data
EIN 83-4404177
Case Number EO-2019108-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARNEY COUNTY SUPPORTING OUR STUDENTS
Organization’s Mailing Address P O BOX 243
City HINES
State OR
ZIP 97738
Accounting period End 12
Primary contact name DEBORAH ARNTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN BAUER
PRESIDENT
77 W ADAMS
BURNS OR 97720

Officer/Director/Trustee Two

KATHY WASSOM
VICE PRESIDENT
120 NW CIRCLE DRIVE
HINES OR 97738

Officer/Director/Trustee Three

MINDY SHELEY
SECRETARY
71111 RUHL RD
BURNS OR 97720

Officer/Director/Trustee Four

DEBORAH ARNTZ
TREASURER
70488 ARNTZ RD
BURNS OR 97720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 DEBORAH ARNTZ
Signature Title TREASURER
Signature Date 4/15/19

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