FORM 1023-EZ for BAKER YOUTH ACTIVITY CENTER

Field Data
EIN 82-4582015
Case Number EO-2018078-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAKER YOUTH ACTIVITY CENTER
Organization’s Mailing Address 14791 PINE CREEK LANE
City BAKER CITY
State OR
ZIP 97814
Accounting period End 12
Primary contact name ROB DENNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB DENNIS
CHAIR
14791 PINE CREEK LANE
BAKER CITY OR 97814-8160

Officer/Director/Trustee Two

DAMON ROSE
VICE CHAIR
1832 MAIN STREET
BAKER CITY OR 97814-8160

Officer/Director/Trustee Three

AUBREY HENSHAW
SECRETARY
3180 GRANDVIEW DR
BAKER CITY OR 97814-8160

Organization’s website
Organization’s email BAKERYOUTHCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROB DENNIS
Signature Title CHAIR
Signature Date 3/15/18

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