FORM 1023-EZ for ECLB

Field Data
EIN 84-3501942
Case Number EO-2019303-000464
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ECLB
Organization’s Mailing Address 2330 NW PROFESSIONAL DR 102
City CORVALLIS
State OR
ZIP 97330
Accounting period End 12
Primary contact name JACK GLUBRECHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY HOLMQUIST
PRESIDENT
2262 NW INDEPENDENCE HWY
ALBANY OR 97321

Officer/Director/Trustee Two

JACK GLUBRECHT
SECRETARY
2785 NW ROYAL OAKS PLACE
CORVALLLIS OR 97330

Officer/Director/Trustee Three

TIM FIEF
DIRECTOR
4060 NW CAMALA DRIVE
ALBANY OR 97321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
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 TIM FIEF
Signature Title DIRECTOR
Signature Date 10/28/19

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