FORM 1023-EZ for CHETCO RIVER ALLIANCE

Field Data
EIN 81-2804990
Case Number EO-2016155-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHETCO RIVER ALLIANCE
Organization’s Mailing Address 19921 WHALESHEAD RD
City BROOKINGS
State OR
ZIP 97415
Accounting period End 12
Primary contact name DONALD BURGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD BURGER
PRESIDENT
PO BOX 7091
BROOKINGS OR 97415

Officer/Director/Trustee Two

CYNTHIA FREEMAN
SECRETARY
19921 WHALESHEAD RD
BROOKINGS OR 97415

Officer/Director/Trustee Three

STANLEY EASLEY
TREASURER
PO BOX 4205
BROOKINGS OR 97415

Officer/Director/Trustee Four

ANDREW ORAHOSKE
DIRECTOR
PO BOX 3156
BROOKINGS OR 97415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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