FORM 1023-EZ for EUGENE MAKER SPACE

Field Data
EIN 27-4515383
Case Number EO-2015086-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EUGENE MAKER SPACE
Organization’s Mailing Address 687 MCKINLEY STREET SUITE 2
City EUGENE
State OR
ZIP 97401
Accounting period End 12
Primary contact name DARRELL PERKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD OSGOOD
PRESIDENT
1344 NAPA VALLEY LANE
EUGENE OR 97404

Officer/Director/Trustee Two

DARRELL PERKO
TREASURER
39438 ANN LANE
MARCOLA OR 97454

Officer/Director/Trustee Three

BEN HALLERT
SECRETARY
983 KINTZLEY AVE
SPRINGFIELD OR 97478

Officer/Director/Trustee Four

KASSANDRA KAPLAN
BOARD MEMBER
3344 VIDERA DRIVE
EUGENE OR 97505

Officer/Director/Trustee Five

ROBERT MILLER
FACILITIES MANAGER
83143 TERRITORIAL RD
EUGENE OR 97405

Organization’s website WWW.EUGENEMAKERSPACE.COM
Organization’s email BOARD@EUGENEMAKERSPACE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2011
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 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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