FORM 1023-EZ for NEWPORT ZOO

Field Data
EIN 84-4154773
Case Number EO-2020034-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEWPORT ZOO
Organization’s Mailing Address 3101 SE FERRY SLIP ROAD SUITE 150
City NEWPORT
State OR
ZIP 97365
Accounting period End 12
Primary contact name BLAINE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAINE BROWN
PRESIDENT
70 NE 73RD ST
NEWPORT OR 97365

Officer/Director/Trustee Two

MICHAEL COOLEY
VICE PRESIDENT/TREASURER/DIRECTOR
1427 N DIVISION
SPOKANE WA 99202

Officer/Director/Trustee Three

JARED HECKART
SECRETARY
341 SE EGBERT AVE
SILETZ OR 97380

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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 Yes
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 BLAINE BROWN
Signature Title PRESIDENT
Signature Date 1/31/2020

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