FORM 1023-EZ for SPECIAL NEEDS ACTIVITY BOARD
| Field | Data |
|---|---|
| EIN | 81-3068052 |
| Case Number | EO-2016181-000084 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SPECIAL NEEDS ACTIVITY BOARD |
| Organization’s Mailing Address | 5356 VILLA DRIVE |
| City | KLAMATH FALLS |
| State | OR |
| ZIP | 97603 |
| Accounting period End | 12 |
| Primary contact name | KELLY DOWELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KELLY DOWELL
BOARD MEMBER
5356 VILLA DRIVE
KLAMATH FALLS OR 97603
Officer/Director/Trustee Two
MILLIE DEARING
BOARD MEMBER
3525 PLUM BUSH CT
KLAMATH FALLS OR 97603
Officer/Director/Trustee Three
BRENDA HALL
TREASURER
2400 SISKIYOU
KLAMATH FALLS OR 97601
Officer/Director/Trustee Four
CANDI LEONARDT
BOARD MEMBER
PO BOX 52
KENO OR 97627
Officer/Director/Trustee Five
MARILYN SPRAGUE
BOARD MEMBER
2403 CROSS ROAD
KLAMATH FALLS OR 97601
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/26/2016 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes 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 | 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 | |
| Signature Title | |
| Signature Date |
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