FORM 1023-EZ for CHARLESTON FISHING FAMILIES

Field Data
EIN 81-2349888
Case Number EO-2016120-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARLESTON FISHING FAMILIES
Organization’s Mailing Address 704 JISTAJAYA CIRCLE
City COOS BAY
State OR
ZIP 97420
Accounting period End 12
Primary contact name JACKIE CHAMBERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACKIE CHAMBERS
PRESIDENT
704 JISTAJAYA CIRCLE
COOS BAY OR 97420

Officer/Director/Trustee Two

MELISSA CLEMENS
TREASURER
12167 HIGHWAY 241
COOS BAY OR 97420

Officer/Director/Trustee Three

CARLETTA GUY
SECRETARY
1530 NEWMARK AVENUE
COOS BAY OR 97420

Organization’s website HTTP://CHARLESTONFISHFAMILY.WIX.COM/FISHINGFAMILIES
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - 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 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 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
Signature Title
Signature Date

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