FORM 1023-EZ for THE AMSBERRY FOUNDATION

Field Data
EIN 84-3771803
Case Number EO-2021146-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE AMSBERRY FOUNDATION
Organization’s Mailing Address 1622 SW 1ST STREET
City PENDLETON
State OR
ZIP 97801-9426
Accounting period End 12
Primary contact name KENT HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENT HARRIS
PRESIDENT
540 SW ANGELINA LOOP
COLLEGE PLACE WA 99324-1659

Officer/Director/Trustee Two

RUTH HARRIS
SECRETARY TREASURER
540 SW ANGELINA LOOP
COLLEGE PLACE WA 99324-1659

Officer/Director/Trustee Three

PATRICIA AMSBERRY
DIRECTOR
1622 SW 1ST STREET
PENDLETON OR 97801-9426

Officer/Director/Trustee Four

AMY SMITH
DIRECTOR
1809 SW ATHENS AVENUE
PENDLETON OR 97801-4011

Officer/Director/Trustee Five

TIMOTHY SMITH
DIRECTOR
1809 SW ATHENS AVENUE
PENDLETON OR 97801-4011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B40 - Higher Education Institutions
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 KENT HARRIS
Signature Title PRESIDENT
Signature Date 5/24/2021

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