FORM 1023-EZ for PUP TENT 23 LUNA TICK
| Field | Data |
|---|---|
| EIN | 82-4287054 |
| Case Number | EO-2019073-000439 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PUP TENT 23 LUNA TICK |
| Organization’s Mailing Address | 2459 S GINGER ST |
| City | CORNELIUS |
| State | OR |
| ZIP | 97113 |
| Accounting period End | 12 |
| Primary contact name | ORVILLE ALLEMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROGER PACK
PRESIDENT
32175 SW LAUREL RD
HILLSBORO OR 97123
Officer/Director/Trustee Two
ROBERT PARRACK JR
SEC
141 SE 151RST AVE APT 7
PORTLAND OR 97233
Officer/Director/Trustee Three
ORVILLE ALLEMAN
TREASURE
2459 S GINGER ST
CORNELIUS OR 97113
Officer/Director/Trustee Four
JERRY ARDEN
TRUSTEE
4685 NW KAHNEETA DR
PORTLAND OR 97229
Officer/Director/Trustee Five
JOHN MOTTER
TRUSTEE
6595 NE DEER RUN ST
HILLSBORO OR 97124
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/28/18 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E86 - Patient Services - Entertainment, Recreation |
| 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 | Yes |
| 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 | ORVILLE ALLEMAN |
| Signature Title | TREASURE |
| Signature Date | 3/12/19 |
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