FORM 1023-EZ for MACS PROM EXPERIENCE

Field Data
EIN 83-2678025
Case Number EO-2019102-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MACS PROM EXPERIENCE
Organization’s Mailing Address 1129 LOOKING GLASS WAY
City CENTRAL POINT
State OR
ZIP 97502
Accounting period End 4
Primary contact name HEATHER SIEWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER SIEWELL
EXECUTIVE DIRECTOR
1129 LOOKING GLASS WAY
CENTRAL POINT OR 97502-4839

Officer/Director/Trustee Two

SARAH SMITH
SECRETARY
533 DANIEL STREET
CENTRAL POINT OR 97502-4839

Officer/Director/Trustee Three

MICHELLE CARTER
TREASURER
3875 MONT DRIVE
MEDFORD OR 97504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O19 - Nonmonetary Support N.E.C.
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 Yes
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 HEATHER SIEWELL
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/9/19

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