FORM 1023-EZ for DOUGLAS RECREATION ASSOCIATION

Field Data
EIN 93-0884813
Case Number EO-2017107-000091
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOUGLAS RECREATION ASSOCIATION
Organization’s Mailing Address PO BOX 63
City WINSTON
State OR
ZIP 97496
Accounting period End 12
Primary contact name MICKEY CALVERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICKEY CALVERT
PRESIDENT
261 SE DARRELL AVE
WINSTON OR 97496

Officer/Director/Trustee Two

JENNIFER SIKES
VICE PRESIDENT
605 SE PARKWAY
WINSTON OR 97496

Officer/Director/Trustee Three

JESSICA RICHCREEK
SECRETARY
6783 HWY 42
TENMILE OR 97481

Officer/Director/Trustee Four

MANDY CRAIG
TREASURE
575 SE PARKWAY
WINSTON OR 97496

Organization’s website
Organization’s email DOUGRECA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2001
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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