FORM 1023-EZ for SPC MABRY JAMES ANDERS MEMORIAL FOUNDATION

Field Data
EIN 81-5313786
Case Number EO-2017058-000621
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPC MABRY JAMES ANDERS MEMORIAL FOUNDATION
Organization’s Mailing Address 14817 LONGBOW LANE
City BAKER CITY
State OR
ZIP 97814-8306
Accounting period End 12
Primary contact name GENEVIEVE WOYDZIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GENEVIEVE WOYDZIAK
PRESIDENT
14817 LONGBOW LANE
BAKER CITY OR 97814-8306

Officer/Director/Trustee Two

MICHELE WOYDZIAK
SECRETARY
1101 22ND STREET
LA GRANDE OR 97850-3846

Officer/Director/Trustee Three

LUKE WOYDZIAK
TREASURER
369 EAST BRYAN STREET
UNION OR 97883-9276

Officer/Director/Trustee Four

TROY WOYDZIAK
VICE PRESIDENT
14817 LONGBOW LANE
BAKER CITY OR 97814-8306

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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