FORM 1023-EZ for SOUTH LINCOLN COUNTY CERT

Field Data
EIN 84-1784612
Case Number EO-2019182-000560
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH LINCOLN COUNTY CERT
Organization’s Mailing Address 1310 NW PARKER AVE
City WALDPORT
State OR
ZIP 97394
Accounting period End 12
Primary contact name MELISSA CHOWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA CHOWN
DIRECTOR TREASURER
1310 NW PARKER AVE
WALDPORT OR 97394

Officer/Director/Trustee Two

LYNDA ENGLE
DIRECTOR PRESIDENT
1080 PARKVIEW ST
SEAL ROCK OR 97376

Officer/Director/Trustee Three

PETER BENJAMIN
DIRECTOR VICE PRESIDENT
1106 NW BAYSHORE DRIVE
WALDPORT OR 97394

Officer/Director/Trustee Four

LINDA CARSKADON
DIRECTOR SECRETARY
7164 ALSEA HWY NUMBER 34
WALDPORT OR 97394

Officer/Director/Trustee Five

CHRISTOPHER NINTZEL
DIRECTOR FUNDRAISING OFFICER
780 NW GROUSE ST
SEAL ROCK OR 97376

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 MELISSA CHOWN
Signature Title DIRECTOR TREASURER
Signature Date 6/27/19

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