FORM 1023-EZ for KLAMATH EVANGELICAL ASSOCIATION
| Field | Data |
|---|---|
| EIN | 36-4807172 |
| Case Number | EO-2017060-000448 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KLAMATH EVANGELICAL ASSOCIATION |
| Organization’s Mailing Address | 3333 BEVERLY DRIVE |
| City | KLAMATH FALLS |
| State | OR |
| ZIP | 97603 |
| Accounting period End | 12 |
| Primary contact name | BERNARD SIMONSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DENNY ROBERTS
PRESIDENT
6200 CHURCH HILLS DRIVE
KLAMATH FALLS OR 97603
Officer/Director/Trustee Two
JOHN KAYS
SECRETARY
6601 TINGLEY LANE
KLAMATH FALLS OR 97601
Officer/Director/Trustee Three
BERNARD SIMONSEN
TREASURER
11944 KESTREL ROAD
KLAMATH FALLS OR 97601
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/1/2012 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No Religious: Yes 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 | |
| Signature Title | |
| Signature Date |
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