FORM 1023-EZ for TWENTY EIGHT AND SIX

Field Data
EIN 47-2878839
Case Number EO-2015075-000513
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TWENTY EIGHT AND SIX
Organization’s Mailing Address 14812 SE RIVER RD
City MILWAUKIE
State OR
ZIP 97267
Accounting period End 12
Primary contact name JUSTIN ECKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTIN ECKLEY
DIRECTOR
14812 SE RIVER RD
MILWAUKIE OR 97267

Officer/Director/Trustee Two

AUSTIE ECKLEY
DIRECTOR
14812 SE RIVER RD
MILWAUKIE OR 97267

Officer/Director/Trustee Three

SHANNON STURGIS
DIRECTOR
3530 NW PACIFIC RIM DRIVE
CAMAS WA 98607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 Yes
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
Signature Title
Signature Date

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