FORM 1023-EZ for WILLOWCREEK COMMUNITY SUPPORT ORGANIZATION

Field Data
EIN 83-2414957
Case Number EO-2018309-000455
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLOWCREEK COMMUNITY SUPPORT ORGANIZATION
Organization’s Mailing Address 2300 9TH AVE W
City VALE
State OR
ZIP 97918
Accounting period End 12
Primary contact name KYLIE GRESSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY MCGOURTY
PRESIDENT
5490 HILL ROAD
BROGAN OR 97903

Officer/Director/Trustee Two

CHELSIE BATES
VICE PRESIDENT
477 HARRISON STREET W
VALE OR 97918

Officer/Director/Trustee Three

KYLIE GRESSLEY
TREASURER
1093 FOOTHILL DR
VALE OR 97918

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: Yes
Religious: No
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 KYLIE GRESSLEY
Signature Title TREASURER
Signature Date 11/2/18

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