FORM 1023-EZ for DOUGLAS COUNTY BEES

Field Data
EIN 46-5700832
Case Number EO-2016203-000090
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOUGLAS COUNTY BEES
Organization’s Mailing Address 208 BUCK SPRINGS RD
City CAMAS VALLEY
State OR
ZIP 97416
Accounting period End 12
Primary contact name IVORY LOS BANOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILL MOULTON
PRESIDENT
208 BUCK SPRINGS RD
CAMAS VALLEY OR 97416

Officer/Director/Trustee Two

IVORY LOS BANOS
TREASURER
2415 SE CHINABERRY AVE
ROSEBURG OR 97470

Officer/Director/Trustee Three

KURT MARCISZ
SECRETARY
330 CAROL ST
WINSTON OR 97496

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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 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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