FORM 1023-EZ for NATIONAL CHARITY LEAGUE INC THREE RIVERS CHAPTER

Field Data
EIN 81-2143122
Case Number EO-2016113-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL CHARITY LEAGUE INC THREE RIVERS CHAPTER
Organization’s Mailing Address 511 RIDGEWAY ROAD
City LAKE OSWEGO
State OK
ZIP 97034
Accounting period End 5
Primary contact name TORI NOVITSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MINDY LOCKARD
PRESIDENT
511 RIDGEWAY ROAD
LAKE OSWEGO OR 97034

Officer/Director/Trustee Two

TORI NOVITSKY
TREASURER
5368 SOUTHWOOD DRIVE
LAKE OSWEGO OR 97035

Officer/Director/Trustee Three

PATTY BOOTH
SECRETARY
1144 BAYBERRY ROAD
LAKE OSWEGO OR 97034

Officer/Director/Trustee Four

KIM HANSON
VICE PRESIDENT MEMBERSHIP
14531UPLANDS DRIVE
LAKE OSWEGO OR 97034

Officer/Director/Trustee Five

ANGELA DANIELS
VICE PRESIDENT PHILANTHROPY
14371 SHERBROOK PLACE
LAKE OSWEGO OR 97035

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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
Signature Title
Signature Date

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