FORM 1023-EZ for WILLAMALANE PARK FOUNDATION

Field Data
EIN 47-4626578
Case Number EO-2015212-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLAMALANE PARK FOUNDATION
Organization’s Mailing Address 1293 18TH STREET
City SPRINGFIELD
State OR
ZIP 97477
Accounting period End 6
Primary contact name DENISE BEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIM MAYO
PRESIDENT
596 S 68TH PLACE
SPRINGFIELD OR 97478-7732

Officer/Director/Trustee Two

JOHN LIVELY
VICE PRESIDENT
1186 WEST D STREET
SPRINGFIELD OR 97477-3519

Officer/Director/Trustee Three

KIM THOMPSON
SECRETARY
7227 THURSTON RD
SPRINGFIELD OR 97478-7732

Officer/Director/Trustee Four

DENISE BEAN
CO-TREASURER
6212 FERNHILL LOOP
SPRINGFIELD OR 97478-7732

Officer/Director/Trustee Five

SCOTT SATTLER
CO-TREASURER
1133 DELROSE DRIVE
SPRINGFIELD OR 97477-1549

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 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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