FORM 1023-EZ for BAKEOVEN-SHANIKO RANGELAND FIRE PROTECTION ASSOCIATION

Field Data
EIN 83-1882167
Case Number EO-2019028-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAKEOVEN-SHANIKO RANGELAND FIRE PROTECTION ASSOCIATION
Organization’s Mailing Address 93415 LIBERTY LN
City GRASS VALLEY
State OR
ZIP 97029
Accounting period End 12
Primary contact name CAROL VON BORSTEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STUART VON BORSTEL
CHAIRMAN
93415 LIBERTY LN
GRASS VALLEY OR 97029

Officer/Director/Trustee Two

RYAN NOPP
VICE-CHAIR
63686 DESCHUTES MARKET RD
BEND OR 97701

Officer/Director/Trustee Three

ZACK JUSTESEN
SECRETARY/TREASURER
55779 DECKER RD
KENT OR 97033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
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 STUART VON BORSTEL
Signature Title CHAIRMAN
Signature Date 12/14/18

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