FORM 1023-EZ for SOUTH WASCO ALLIANCE

Field Data
EIN 47-3377980
Case Number EO-2015135-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH WASCO ALLIANCE
Organization’s Mailing Address 57594 TYGH VALLEY RD
City TYGH VALLEY
State OR
ZIP 97063
Accounting period End 12
Primary contact name KEITH A MOBLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVEN ELLIS
PRESIDENT AND BOARD MEMBER
57594 TYGH VALLEY RD
TYGH VALLEY OR 97063

Officer/Director/Trustee Two

WILLIAM AARNIO
BOARD MEMBER
132 S LOUISA RD
WAMIC OR 97063

Officer/Director/Trustee Three

SUZANNE KNAPP
BOARD MEMBR
1516 FISHCAMP RD
MAUPIN OR 97037

Officer/Director/Trustee Four

IRL DAVIS
BOARD MEMBER
82859 HWY 216
TYGH VALLEY OR 97063

Officer/Director/Trustee Five

LISA GAMBEE
BOARD MEMBER SECRETARY
4460 NE AINSWORTH ST
PORTLAND OR 97218

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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