FORM 1023-EZ for SAM BARLOW HIGH SCHOOL ALUMNI ASSOCIATION
| Field | Data |
|---|---|
| EIN | 36-4918755 |
| Case Number | EO-2019065-000322 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAM BARLOW HIGH SCHOOL ALUMNI ASSOCIATION |
| Organization’s Mailing Address | 21753 SE FOSTER RD |
| City | DAMASCUS |
| State | OR |
| ZIP | 97089 |
| Accounting period End | 6 |
| Primary contact name | NICKI HUDSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NICKI HUDSON
PRESIDENT
21753 SE FOSTER RD
DAMASCUS OR 97089
Officer/Director/Trustee Two
DIANE DEATHRIDGE
VICE PRESIDENT
30621 SE PIPELINE RD
GRESHAM OR 97080
Officer/Director/Trustee Three
BARBARA DECIOUS
TREASURER
6223 SE DUNBAR DR
PORTLAND OR 97236
Officer/Director/Trustee Four
MATTHEW NORQUIST
SECRETARY
892 NW COUNCIL DR
GRESHAM OR 97030-3752
Officer/Director/Trustee Five
LORI ENGDALL
DIRECTOR
18995 SE LANENSAND RD
SANDY OR 97055
| Organization’s website | WWW.SBHSAA.ORG |
|---|---|
| Organization’s email | INFO@SBHSAA.ORG |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/26/18 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B25 - Secondary, High School |
| 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 | NICKI HUDSON |
| Signature Title | PRESIDENT |
| Signature Date | 3/4/19 |
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