FORM 1023-EZ for UMPQUA JOE CHAPTER NO 1859

Field Data
EIN 38-3737954
Case Number EO-2015182-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UMPQUA JOE CHAPTER NO 1859
Organization’s Mailing Address 1630 WILLIAMS HIGHWAY- PMB 312
City GRANTS PASS
State OR
ZIP 97527
Accounting period End 12
Primary contact name HAROLD LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEN BELL
NOBLE GRAND HUMBUG(PRESIDENT)
1387 WINETEER LANE
GRANTS PASS OR 97527

Officer/Director/Trustee Two

HAROLD LEE
VICENOBLEGRANDHUMBUG(VICEPRESIDENT)
258 ORANGE AVE
ASHLAND OR 97520-1124

Officer/Director/Trustee Three

GARY RAKES
GOLD DUST RECEIVER(TREASURER)
1800 DICK GEORGE RD
CAVE JUNCTION OR 97523

Officer/Director/Trustee Four

WILLIAM BRAY
RECORDER (SECRETARY)
2392 COMMERCIAL ST
NORTH BEND OR 97459

Officer/Director/Trustee Five

GLENN HEARRELL
CLAMPATRIARCH
1240 SCOTT DR
GRANTS PASS OR 97527

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2006
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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
Signature Title
Signature Date

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