FORM 1023-EZ for GREATER PINE VALLEY RANGELAND FIRE PROTECTION ASSOCIATION INC

Field Data
EIN 81-3316358
Case Number EO-2018150-000031
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREATER PINE VALLEY RANGELAND FIRE PROTECTION ASSOCIATION INC
Organization’s Mailing Address PO BOX 494
City HALFWAY
State OR
ZIP 97834
Accounting period End 12
Primary contact name MARTIN LEUENBERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MOORE
PRESIDENT/DIRECTOR/CHAIRMAN
PO BOX 876
HALFWAY OR 97834

Officer/Director/Trustee Two

NORA SEAL
TREASURER
36495 VALLEY VIEW LANE
HALFWAY OR 97834

Officer/Director/Trustee Three

LISA STEELE
DIRECTOR/SEC
102 N MAIN STREET SUITE 4
HALFWAY OR 97834

Officer/Director/Trustee Four

ITSY TANAKA
DIRECTOR
46440 FISH LAKE RD
HALFWAY OR 97834

Officer/Director/Trustee Five

RICK SIMPSON
DIRECTOR
48924 CORNUCOPIA HWY
HALFWAY OR 97834

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 DAVID MOORE
Signature Title PRESIDENT/DIRECTOR/CHAIRMAN
Signature Date 5/24/18

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