FORM 1023-EZ for MISS COLUMBIA RIVER CIRCUIT

Field Data
EIN 87-1694148
Case Number EO-2021214-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISS COLUMBIA RIVER CIRCUIT
Organization’s Mailing Address 1802 N WATER ST
City ELLENSBURG
State WA
ZIP 98926
Accounting period End 12
Primary contact name RAYLAH HOLM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELSY KONKRIGHT
PRESIDENT DIRECTOR
350 LYNC LN
YAKIMA WA 98923

Officer/Director/Trustee Two

MADDIE COLEMAN
SECRETARY DIRECTOR
1577 E HURLBURT AVE
HERMISTON OR 97838

Officer/Director/Trustee Three

RAYLAH HOLM
TREASURER DIRECTOR
1802 N WATER ST
ELLENSBURG WA 98926

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 RAYLAH HOLM
Signature Title TREASURER DIRECTOR
Signature Date 7/30/2021

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