FORM 1023-EZ for ROXYGRASS

Field Data
EIN 84-5000479
Case Number EO-2020177-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROXYGRASS
Organization’s Mailing Address 142 W DUTTON RD
City EAGLE POINT
State OR
ZIP 97524-6584
Accounting period End 12
Primary contact name GRETCHEN HUNTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRETCHEN HUNTER
PRESIDENT, TREASURER, DIRECTOR
142 W DUTTON RD
EAGLE POINT OR 97524-6584

Officer/Director/Trustee Two

CERIDWYN DOUCETTE
SECRETARY, DIRECTOR
2301 S PACIFIC HWY
TALENT OR 97540

Officer/Director/Trustee Three

GLENN FREESE
DIRECTOR
79 SILVER CIRCLE
PAGOSA SPRINGS CO 81147

Officer/Director/Trustee Four

LILY MCCABE
DIRECTOR
205 N PHOENIX RD SUITE J
PHOENIX OR 97535

Officer/Director/Trustee Five

LINDA LEAVITT
DIRECTOR
5300 COVENTRY COURT
LAKE OSWEGO OR 97035

Organization’s website ROXYGRASS.ORG
Organization’s email GRETCHEN435@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 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 GRETCHEN HUNTER
Signature Title PRESIDENT, TREASURER, DIRECTOR
Signature Date 6/16/2020

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