FORM 1023-EZ for 100 PERCENT TIP CHALLENGE

Field Data
EIN 47-2279057
Case Number EO-2014316-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 100 PERCENT TIP CHALLENGE
Organization’s Mailing Address 1221 NE 7TH STREET
City GRANTS PASS
State OR
ZIP 97526
Accounting period End 12
Primary contact name MICHAEL DELAGRANGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL DELAGRANGE
PRESIDENT / DIRECTOR
1221 NE 7TH STREET
GRANTS PASS OR 97526

Officer/Director/Trustee Two

ASHLEY DELAGRANGE
VICE-PRESIDENT
1221 NE 7TH STREET
GRANTS PASS OR 97526

Officer/Director/Trustee Three

DIANA DELAGRANGE
SECRETARY
1221 NE 7TH STREET
GRANTS PASS OR 97526

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
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
Signature Title
Signature Date

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