FORM 1023-EZ for GINGLES CEMETERY ASSOCIATION

Field Data
EIN 82-4617039
Case Number EO-2018064-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GINGLES CEMETERY ASSOCIATION
Organization’s Mailing Address 7682 NW SPRINGHILL DR
City ALBANY
State OR
ZIP 97321-9103
Accounting period End 3
Primary contact name RICHARD PYBURN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD PYBURN
PRESIDENT
7682 NW SPRINGHILL DR
ALBANY OR 97321-9103

Officer/Director/Trustee Two

RICHARD PYBURN
PRESIDENT
7682 NW SPRINGHILL DR
ALBANY OR 97321-9103

Officer/Director/Trustee Three

RICK PYBURN
PRESIDENT
7682 NW SPRINGHILL DR
ALBANY OR 97321-9103

Officer/Director/Trustee Four

RICK PYBURN
PRESIDENT
7682 NW SPRINGHILL DR
ALBANY OR 97321-9103

Officer/Director/Trustee Five

RICK PYBURN
PRESIDENT
7682 NW SPRINGHILL DR
ALBANY OR 97321-9103

Organization’s website
Organization’s email GINGLESCEMETERY@TALKINGHAWK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD PYBURN
Signature Title PRESIDENT
Signature Date 3/1/18

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