| Field | Data |
|---|---|
| EIN | 84-3898582 |
| Case Number | EO-2019357-000508 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TAKE A VETERAN FISHING AT ODELL LAKE |
| Organization’s Mailing Address | 1312 HEATHER LANE SE |
| City | SALEM |
| State | OR |
| ZIP | 97302 |
| Accounting period End | 12 |
| Primary contact name | JOANNA WARNER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BOYD BLANCHARD
EXECUTIVE DIRECTOR
1312 HEATHER LANE SE
SALEM OR 97302
BERNARD HOENE
PRESIDENT
17403 ABIQUA RD NE
SILVERTON OR 97381
JOHN RUDKINS
VICE PRESIDENT
6326 C STREET
SPRINGFIELD OR 97478
BRICE PERKINS
TREASURER
3737 WINDGATE ST
MEDFORD OR 97504
KIMBERLY HENDRICKS
SECRETARY
1440 EAST PINE STREET
STAYTON OR 97383
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/22/2019 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other 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 | 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 | BOYD BLANCHARD |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 12/20/2019 |
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