FORM 1023-EZ for ALVADORE HALLOWEEN CARNIVAL

Field Data
EIN 81-3780250
Case Number EO-2018291-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALVADORE HALLOWEEN CARNIVAL
Organization’s Mailing Address 27194 - 8TH STREET
City JUNCTION CITY
State OR
ZIP 97448-9527
Accounting period End 8
Primary contact name KIMBERLY KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY KING
PRESIDENT
27194 - 8TH ST
JUNCTION CITY OR 97448-9527

Officer/Director/Trustee Two

CHERYL CHAMBERS
SECRETARY
P O BOX 150
ALVADORE OR 97409-150

Officer/Director/Trustee Three

DANELL MADISON
TREASURE
27255 - 8TH ST
JUNCTION CITY OR 97448

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/16
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
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 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 KIMBERLY KING
Signature Title PRESIDENT
Signature Date 10/16/18

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