FORM 1023-EZ for PAY IT FORWARD COTTAGE GROVE

Field Data
EIN 47-3205469
Case Number EO-2015146-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAY IT FORWARD COTTAGE GROVE
Organization’s Mailing Address 1161 OSTRANDER LANE
City COTTAGE GROVE
State OR
ZIP 97424
Accounting period End 3
Primary contact name LINDA JOYCE BEER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA BEER
DIRECTOR
1161 OSTRANDER LANE
COTTAGE GROVE OR 97424

Officer/Director/Trustee Two

RIMMM BEER
DIRECTOR
1161 OSTRANDER LANE
COTTAGE GROVE OR 97424

Officer/Director/Trustee Three

JENNIFER NEIL
DIRECTOR
710 NORTH 19TH
COTTAGE GROVE OR 97424

Organization’s website WWW.FACEBOOK.COM/PAYITFORWARDCOTTAGEGROVE
Organization’s email PAYITFORWARDCOTTAGEGROVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
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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