FORM 1023-EZ for LANE COUNTY SEARCH AND RESCUE FOUNDATION

Field Data
EIN 82-1722605
Case Number EO-2017170-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANE COUNTY SEARCH AND RESCUE FOUNDATION
Organization’s Mailing Address 125 E 8TH AVE
City EUGENE
State OR
ZIP 97401-6801
Accounting period End 12
Primary contact name TIM CHASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM CHASE
PRESIDENT
125 E 8TH AVE
EUGENE OR 97401-6801

Officer/Director/Trustee Two

NICK WEDMORE
DIRECTOR
513 S 4TH STREET
SPRINGFIELD OR 97477-5409

Officer/Director/Trustee Three

JASON BOWMAN
SECRETARY
125 E 8TH AVE
EUGENE OR 97401-6801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
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 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 Yes
One Third Support Public Yes
One Third Support Gifts No
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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