FORM 1023-EZ for NORTHWEST FOREST CONSERVANCY

Field Data
EIN 93-1301811
Case Number EO-2019137-000424
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST FOREST CONSERVANCY
Organization’s Mailing Address 65182 HOT LAKE LANE
City LA GRANDE
State OR
ZIP 97850
Accounting period End 12
Primary contact name MICHAEL RYSAVY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL RYSAVY
EXECUTIVE DIRECTOR
65182 HOT LAKE LN
LA GRANDE OR 97850

Officer/Director/Trustee Two

TAMARAH RYSAVY
SECRETARY
65182 HOT LAKE LN
LA GRANDE OR 97850

Officer/Director/Trustee Three

RAY SULLIVAN
DIRECTOR
PO BOX 106
LA GRANDE OR 97850

Officer/Director/Trustee Four

JOHN OPPELT
PRESIDENT
PO BOX 106
LA GRANDE OR 97850

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/00
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL RYSAVY
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/15/19

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