FORM 1023-EZ for OREGON TAXIDERMY ASSOCIATION

Field Data
EIN 83-2919490
Case Number EO-2019063-000576
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OREGON TAXIDERMY ASSOCIATION
Organization’s Mailing Address 12420 NE HONEY LN
City NEWBERG
State OR
ZIP 97132
Accounting period End 5
Primary contact name JOSH BRYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH BRYAN
PRESIDENT
12420 NE HONEY LN
NEWBERG OR 97132

Officer/Director/Trustee Two

TIM BROWN
VICE PRESIDENT
15370 SOUTH HOLCOMB BLVD
OREGON CITY OR 97045

Officer/Director/Trustee Three

JUSTIN HICKS
SECRETARY AND TREASURER
2750 NW JILL AVE
BEND OR 97701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/17
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 JOSH BRYAN
Signature Title PRESIDENT
Signature Date 3/2/19

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