FORM 1023-EZ for AMPED AFTER SCHOOL COMMUNITY

Field Data
EIN 82-0731871
Case Number EO-2017188-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMPED AFTER SCHOOL COMMUNITY
Organization’s Mailing Address 15815 NE 18TH STREET
City VANCOUVER
State WA
ZIP 98684
Accounting period End 12
Primary contact name CHARLES KEPLAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES KEPLAR
CHAIR
3307 NE 141ST AVE
VANCOUVER WA 98682

Officer/Director/Trustee Two

SUMMER MILLER
SECRETARTY
12721 NE 111TH STREET
VANCOUVER WA 98682

Officer/Director/Trustee Three

LISA OGDEN
TREASURER
19800 SE 7TH WAY
CAMAS WA 98607

Officer/Director/Trustee Four

SCOTT MUNRO
VICE CHAIR
18403 NE 32ND STREET
VANCOUVER WA 98682

Officer/Director/Trustee Five

SHELLY BOYCE
DIRECTOR
19905 SE 5TH WAY
CAMAS WA 98607

Organization’s website AMPEDAFTERSCHOOL.ORG
Organization’s email AMPEDAFTERSCHOOL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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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