FORM 1023-EZ for SIUSLAW HIGH SCHOOL PROJECT GRADUATION

Field Data
EIN 93-0962789
Case Number EO-2015267-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIUSLAW HIGH SCHOOL PROJECT GRADUATION
Organization’s Mailing Address 2975 OAK STREET
City FLORENCE
State OR
ZIP 97439
Accounting period End 8
Primary contact name SANDRA JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA CORNISH
PRESIDENT
5286 DUNEWOOD DRIVE
FLORENCE OR 97439

Officer/Director/Trustee Two

BRIGITTE DOTSON
VICE PRESIDENT
1639 29TH STREET P O BOX 2535
FLORENCE OR 97439

Officer/Director/Trustee Three

ANNETTE GRIFFES
SECRETARY
211 20TH STREET P O BOX 1637
FLORENCE OR 97439

Officer/Director/Trustee Four

SANDRA JONES
TREASURER
83917 CLOUD NINE ROAD
FLORENCE OR 97439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/1987
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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