FORM 1023-EZ for DEVILS LAKE NEIGHBORHOOD ASSOCIATION
| Field | Data |
|---|---|
| EIN | 45-6876963 |
| Case Number | EO-2019246-000479 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DEVILS LAKE NEIGHBORHOOD ASSOCIATION |
| Organization’s Mailing Address | 2941 NE LOOP DRIVE |
| City | OTIS |
| State | OR |
| ZIP | 97368 |
| Accounting period End | 12 |
| Primary contact name | MITCHELL MOORE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARK CHRISTIE
PRESIDENT
3184 NE LOOP DRIVE
OTIS OR 97368
Officer/Director/Trustee Two
TOM RICE
VICE-PRESIDENT
3970 NE 40TH
NEOTSU OR 97364
Officer/Director/Trustee Three
MITCHELL MOORE
SECRETARY/TREASURER
2929 NE LOOP DR
OTIS OR 97368
Officer/Director/Trustee Four
TINA FRENCH
BOARD MEMBER
1726 SE HWY 101
LINCOLN CITY OR 97367
Officer/Director/Trustee Five
STEVE BROWN
BOARD MEMBER
151 NE LAKE DR
LINCOLN CITY OR 97367
| Organization’s website | DLAKEOREGON.COM |
|---|---|
| Organization’s email | DLAKEOREGON@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/27/14 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S22 - Neighborhood, Block Associations |
| Organization’s purpose | Charitable: No 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MITCHELL MOORE |
| Signature Title | SECRETARY/TREASURER |
| Signature Date | 8/31/19 |
| EIN | 45-6876963 |
| Case Number | EO-2016077-000077 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DEVILS LAKE NEIGHBORHOOD ASSOCIATION |
| Organization’s Mailing Address | 2941 NE LOOP DR |
| City | OTIS |
| State | OR |
| ZIP | 97368 |
| Accounting period End | 12 |
| Primary contact name | MITCHELL MOORE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JOE BARNES
PRESIDENT
1727 NE DEVILS LAKE RD
OTIS OR 97368
Officer/Director/Trustee Two
NATHAN KNOTT
VICE PRESIDENT
4080 NE WEST DEVILS LAKE RD
LINCOLN CITY OR 97367
Officer/Director/Trustee Three
MITCHELL MOORE
SECRETARY/TREASURER
2941 NE LOOP DR
OTIS OR 97368
Officer/Director/Trustee Four
TINA FRENCH
DIRECTOR
1726 SE HWY 101
LINCOLN CITY OR 97367
Officer/Director/Trustee Five
MARK CHRISTIE
DIRECTOR
3184 NE LOOP DR
OTIS OR 97368
| Organization’s website | DLAKEOREGON.COM |
|---|---|
| Organization’s email | DLAKEOREGON@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/27/2014 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S22 - Neighborhood, Block Associations |
| Organization’s purpose | Charitable: No 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 | |
| Signature Title | |
| Signature Date |
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