FORM 1023-EZ for MARCOLA YOUTH CENTER

Field Data
EIN 82-3909267
Case Number EO-2018142-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARCOLA YOUTH CENTER
Organization’s Mailing Address PO BOX 902
City MARCOLA
State OR
ZIP 97454
Accounting period End 12
Primary contact name DELANA HANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL DEEDS
VICE CHAIRMAN
38132 B STREET
MARCOLA OR 97454

Officer/Director/Trustee Two

DELOIS LANE
TREASURER
94672 JOHNSON RD
MARCOLA OR 97454

Officer/Director/Trustee Three

CATHERINE STARKEY
SECRETARY
40501 MOHAWK RIVER RD
MARCOLA OR 97454

Officer/Director/Trustee Four

GLENNA JOHNSON
BOARD MEMBER
37180 TREE FARM RD
SPRINGFIELD OR 97478

Officer/Director/Trustee Five

DELANA HANSEN
BOARD CHAIRMAN
94674 JOHNSON RD
MARCOLA OR 97454

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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 DELANA HANSEN
Signature Title BOARD CHAIRMAN
Signature Date 5/20/18

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