FORM 1023-EZ for HAPPY WORKERS CLUB INC

Field Data
EIN 83-3538780
Case Number EO-2019051-000425
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAPPY WORKERS CLUB INC
Organization’s Mailing Address 14165 WILDWOOD RD
City PHILOMATH
State OR
ZIP 97370
Accounting period End 12
Primary contact name CAROL VIERRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA SIZEMORE
PRESIDENT
39241 LUCKIAMUTE RD
PHILOMATH OR 97370

Officer/Director/Trustee Two

CAROL VIERRA
TREASURER
14165 WILDWOOD RD
PHILOMATH OR 97370

Officer/Director/Trustee Three

EVELYN HUKARI
SECRETARY
14420 WILDWOOD RD
PHILOMATH OR 97370

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/57
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y99 - Mutual/Membership Benefit Organizations, Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 CAROL VIERRA
Signature Title TREASURER
Signature Date 2/18/19

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