FORM 1023-EZ for LEAVENWORTH COMMUNITY RADIO

Field Data
EIN 86-2892535
Case Number EO-2021106-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEAVENWORTH COMMUNITY RADIO
Organization’s Mailing Address 8551 ORCHARD STREET
City PESHASTIN
State WA
ZIP 98847-9500
Accounting period End 12
Primary contact name CALI OSBORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALI OSBORNE
PRESIDENT
14040 CHUMSTICK HWY
LEAVENWORTH WA 98826-9204

Officer/Director/Trustee Two

SETH GARRIDO
VICE PRESIDENT
9331 E LEAVENWORTH RD
LEAVENWORTH WA 98826-9357

Officer/Director/Trustee Three

KATHRYN KELLY
SECRETARY
8551 ORCHARD ST
PESHASTIN WA 98847-9500

Officer/Director/Trustee Four

ROB NEWSOME
MEMBER AT LARGE
489 MOUNTAINEER CREEK RD
LEAVENWORTH WA 98826-4517

Officer/Director/Trustee Five

CHUCK EGNAR
MEMBER AT LARGE
1261 DEMPSEY RD
LEAVENWORTH WA 98826-5804

Organization’s website
Organization’s email LEAVENWORTHRADIO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CALI OSBORNE
Signature Title PRESIDENT
Signature Date 4/14/2021

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