FORM 1023-EZ for BRIDGE CREEK WATERSHED COUNCIL

Field Data
EIN 93-1232329
Case Number EO-2019347-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIDGE CREEK WATERSHED COUNCIL
Organization’s Mailing Address 40535 HWY
City FOSSIL
State OR
ZIP 97830-8242
Accounting period End 12
Primary contact name DEBRA BUNCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENDALL DERBY
PRESIDENT
PO BOX 43
FOSSIL OR 97830

Officer/Director/Trustee Two

JEFFREY KEE
VICE PRESIDENT
13642 NW RIVERVIEW DRIVE
PORTLAND OR 97231

Officer/Director/Trustee Three

AMY DERBY
SECRETARY/TREASURER
PO BOX 407
FOSSIL OR 97830

Officer/Director/Trustee Four

BONNIE TOLTON
DIRECTOR
PO BOX 96
MITCHELL OR 97750

Officer/Director/Trustee Five

JOHN CRAFTON
DIRECTOR
42031 KAHLER BASIN RDK
SPRAY OR 97874

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2012
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name KENDALL DERBY
Signature Title PRESIDENT
Signature Date 12/11/2019

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