FORM 1023-EZ for DISTRICT NORTHWEST MASTER BREWERS ASSOCIATION OF THE AMERICAS

Field Data
EIN 46-3061681
Case Number EO-2015023-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DISTRICT NORTHWEST MASTER BREWERS ASSOCIATION OF THE AMERICAS
Organization’s Mailing Address 3340 PILOT KNOB RD
City ST. PAUL
State MN
ZIP 55121
Accounting period End 12
Primary contact name BRIAN FAIVRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH CASEY
PRESIDENT
929 N RUSSEL ST
PORTLAND OR 97227-1733

Officer/Director/Trustee Two

BRIAN FAIVRE
SECRETARY/TREASURER
901 SW SIMPSON AVE
BEND OR 97702

Officer/Director/Trustee Three

TOM SHELLHAMMER
VICE PRESIDENT
100 WIEGAND HALL
CORVALLIS OR 97331-6602

Officer/Director/Trustee Four

DOUGLAS HINDMAN
TECHNICAL CHAIR
255 W 152ND ST
BURIEN WA 98166-2307

Officer/Director/Trustee Five

BRAD LOUCKS
BOARD OF GOVERNOR REPRESENTATIVE
1701 INDUSTRIAL WAY
VANCOUVER WA 98668-1529

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2012
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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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