FORM 1023-EZ for KLAMATH FALLS DOG PARK ASSOCIATION

Field Data
EIN 82-3384160
Case Number EO-2018345-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KLAMATH FALLS DOG PARK ASSOCIATION
Organization’s Mailing Address PO BOX 353
City KLAMATH FALLS
State OR
ZIP 97601
Accounting period End 12
Primary contact name RAYMOND M TATEKAWA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND TATEKAWA
PRESIDENT
2918 CHARTER ISLE BLVD
KLAMATH FALLS OR 97601

Officer/Director/Trustee Two

KACY WHITE
SECRETARY
7770 ELLIOTT RD
KLAMATH FALLS OR 97603

Officer/Director/Trustee Three

SHAM SANDHU
VICE PRESIDENTS
PO BOX 5079
KLAMATH FALLS OR 97601

Officer/Director/Trustee Four

DAN HEWITT
VICE PRESIDENT
1323-B ELM AVE
KLAMATH FALLS OR 97601

Officer/Director/Trustee Five

GARY BOYETTE
TREASURER
4335 AUSTIN ST
KLAMATH FALLS OR 97603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GARY BOYETTE
Signature Title TREASURER
Signature Date 12/9/18

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