FORM 1023-EZ for LOWER UMPQUA GEM AND LAPIDARY SOCIETY

Field Data
EIN 81-5385777
Case Number EO-2017082-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOWER UMPQUA GEM AND LAPIDARY SOCIETY
Organization’s Mailing Address 100 RIVERBEND NO 117
City REEDSPORT
State OR
ZIP 97467
Accounting period End 12
Primary contact name BILL HENDRICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL HENDRICKSON
PRESIDENT
100 RIVERBEND NO 117
REEDSPORT OR 97467

Officer/Director/Trustee Two

CAMERON GROW
VICE-PRESIDENT
89796 UPPER NORTH FORK RD
FLORENCE OR 97439

Officer/Director/Trustee Three

WILLIAM ICE
TREASURER
69833 STAGE RD
NORTH BEND OR 97659

Officer/Director/Trustee Four

LINDA BARR
SECRETARY
250 RANCH RD
REEDSPORT OR 97467

Officer/Director/Trustee Five

DALE BUNSELMEIER
MEMBER AT LARGE
3500 FERNWOOD PLACE
REEDSPORT OR 97467

Organization’s website
Organization’s email IRLINDABARR@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
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
Signature Title
Signature Date

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