FORM 1023-EZ for 42 SPRUCE INC

Field Data
EIN 46-5733158
Case Number EO-2015015-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 42 SPRUCE INC
Organization’s Mailing Address 706 ASH STREET
City MYRTLE POINT
State OR
ZIP 97458
Accounting period End 12
Primary contact name JULIE GROVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EMILY GROVES
PRESIDENT
1425 BOTHWIDK STREET
MYRTLE POINT OR 97458

Officer/Director/Trustee Two

J C ROGAUSKAS
VICE PRESIDENT
345 8TH STREET
MYRTLE POINT OR 97458

Officer/Director/Trustee Three

JULIE GROVES
SEC/TREAS
706 ASH STREET
MYRTLE POINT OR 97458

Officer/Director/Trustee Four

DOUG VEYSEY
DIRECTOR
1033 CEDAR ST
MYRTLE POINT OR 97458

Officer/Director/Trustee Five

PHYLLIS WILSON
DIRECTOR
PO BOX 335
MYRTLE POINT OR 97458

Organization’s website
Organization’s email 42ANDSPRUCEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
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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