FORM 1023-EZ for DOUBLE MOUNTAIN FOUNDATION

Field Data
EIN 85-0510009
Case Number EO-2020093-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOUBLE MOUNTAIN FOUNDATION
Organization’s Mailing Address PO BOX 1660
City HOOD RIVER
State OR
ZIP 97031
Accounting period End 12
Primary contact name MATTHEW SCOTT SWIHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MURRELL
PRESIDENT& DIRECTOR
PO BOX 1660
HOOD RIVER OR 97031

Officer/Director/Trustee Two

DAVID SIMON
DIRECTOR
PO BOX 1660
HOOD RIVER OR 97031

Officer/Director/Trustee Three

MATTHEW SWIHART
TREASURER & DIRECTOR
PO BOX 1660
HOOD RIVER OR 97031

Officer/Director/Trustee Four

DANIEL VETROVSKY
DIRECTOR
PO BOX 1660
HOOD RIVER OR 97031

Officer/Director/Trustee Five

JAMES ZILIAK
SECRETARY & DIRECTOR
PO BOX 1660
HOOD RIVER OR 97031

Organization’s website
Organization’s email MATT@DOUBLEMOUNTAINBREWERY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 Yes
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 MATTHEW SWIHART
Signature Title TREASURER & DIRECTOR
Signature Date 3/31/2020

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