FORM 1023-EZ for DRIVEN DEAD CAR CLUB

Field Data
EIN 26-3813071
Case Number EO-2015111-000039
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DRIVEN DEAD CAR CLUB
Organization’s Mailing Address 8800 SE 287TH AVE
City BORING
State OR
ZIP 97009
Accounting period End 12
Primary contact name JENNIFER SPREADBOROUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID JOHNSON
PRESIDENT
3317 SE 25TH AVE
PORTLAND OR 97202

Officer/Director/Trustee Two

ANDREW ROSA
VICE PRESIDENT
1504 SE 174TH AVE
PORTLAND OR 97233

Officer/Director/Trustee Three

JAY HENRIKSEN
SECRETARY
1304 NE 135TH AVE
PORTLAND OR 97230

Officer/Director/Trustee Four

JENNIFER SPREADBOROUGH
TREASURER
8800 SE 287TH AVE
BORING OR 97009

Officer/Director/Trustee Five

ZACHARY BADGLEY
SARGEANT AT ARMS
104 LOWRANE DR
KELSO WA 98626

Organization’s website WWW.DRIVENDEAD.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2005
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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