FORM 1023-EZ for HISTORIC HEATER FARMS

Field Data
EIN 85-4397191
Case Number EO-2021063-000859
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HISTORIC HEATER FARMS
Organization’s Mailing Address PO BOX 679
City STAYTON
State OR
ZIP 97383
Accounting period End 12
Primary contact name CHRISTINE MOEHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF HEATER
BOARD PRESIDENT
3735 THREE MILE RD
THE DALLES OR 97058

Officer/Director/Trustee Two

MARGARET HEATER
BOARD SECRETARY
PO BOX 916
SUBLIMITY OR 97385

Officer/Director/Trustee Three

DAVE HEATER
BOARD TREASURER
650 NW 78TH ST
SEATTLE WA 98117

Officer/Director/Trustee Four

SUSAN NICHOLS
DIRECTOR
PO BOX 679
STAYTON OR 97383

Officer/Director/Trustee Five

TRACY WILCOX
DIRECTOR
490 LESLIE ST SE
SALEM OR 97301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUSAN NICHOLS
Signature Title DIRECTOR
Signature Date 12/31/2020

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