FORM 1023-EZ for LEAD COLUMBIA COUNTY INC

Field Data
EIN 83-2621103
Case Number EO-2019029-000930
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEAD COLUMBIA COUNTY INC
Organization’s Mailing Address 2194 COLUMBIA BLVD
City ST HELENS
State OR
ZIP 97051
Accounting period End 12
Primary contact name SIMON DATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIMON DATE
EXECUTIVE DIRECTOR
2194 COLUMBIA BLVD
ST HELENS OR 97051

Officer/Director/Trustee Two

BOB BANARD
TREASURER
2194 COLUMBIA BLVD
ST HELENS OR 97051

Officer/Director/Trustee Three

SCOTT BURGE
CHAIRPERSON
2194 COLUMBIA BLVD
ST HELENS OR 97051

Officer/Director/Trustee Four

HOPE WIRTA
DIRECTOR AT LARGE
2194 COLUMBIA BLVD
ST HELENS OR 97051

Officer/Director/Trustee Five

JESSICA HANSEN
DIRECTOR AT LARGE
2194 COLUMBIA BLVD
ST HELENS OR 97051

Organization’s website SCCCHAMBER.ORG
Organization’s email MGR@SCCCHAMBER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S43 - Management Services for Small Business, Entrepreneurs
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 No
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 SIMON DATE
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/19/18

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