FORM 1023-EZ for CHAMPAGNE CREEK RANCH INC
| Field | Data |
|---|---|
| EIN | 84-3209888 |
| Case Number | EO-2019277-000848 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHAMPAGNE CREEK RANCH INC |
| Organization’s Mailing Address | 766 SE KANE ST |
| City | ROSEBURG |
| State | OR |
| ZIP | 97470-3943 |
| Accounting period End | 12 |
| Primary contact name | RANDY C RUBIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RANDY RUBIN
CHAIRPERSON / PRESIDENT
766 SE KANE ST
ROSEBURG OR 97470-3943
Officer/Director/Trustee Two
VIRGLE OSBORNE
VICE CHAIRPERSON / TREASURER
372 COLONIAL ROAD
ROSEBURG OR 97470-3943
Officer/Director/Trustee Three
ALAN PAULSON
SECRETARY
4751 HAPPY VALLEY ROAD
ROSEBURG OR 97470-9301
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/8/19 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C60 - Environmental Education and Outdoor Survival Programs |
| Organization’s purpose | Charitable: No 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 | RANDY RUBIN |
| Signature Title | CHAIRPERSON / PRESIDENT |
| Signature Date | 10/1/19 |
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