FORM 1023-EZ for SANDY ACTIVITY NIGHT
| Field | Data |
|---|---|
| EIN | 84-1770477 |
| Case Number | EO-2021023-000108 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SANDY ACTIVITY NIGHT |
| Organization’s Mailing Address | 39084 PROCTOR BLVD SUITE C |
| City | SANDY |
| State | OR |
| ZIP | 97055 |
| Accounting period End | 12 |
| Primary contact name | BILLY KENDRICK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PATRICIA KENDRICK
TREASURER
38482 BARLOW PARKWAY
SANDY OR 97055
Officer/Director/Trustee Two
TAMERA STRASSNER
COMMUNITY DIRECTER
11075 SE MARSH RD
SANDY OR 97055
Officer/Director/Trustee Three
ALICIA SANDERS
ACTIVITIES DIRECTOR
18175 SE LANGENSAND RD
SANDY OR 97055
Officer/Director/Trustee Four
BILLY KENDRICK
PRESIDENT
38482 BARLOW PARKWAY
SANDY OR 97055
Officer/Director/Trustee Five
KRISTI JACQUEZ
SECRETARY
3370 SE 30TH ST
TROUTDALE OR 97080
| Organization’s website | |
|---|---|
| Organization’s email | ADMIN@OREGONPROVIDER.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/15/2019 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P82 - Developmentally Disabled Centers, Services |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BILLY KENDRICK |
| Signature Title | PRESIDENT |
| Signature Date | 11/27/2020 |
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