FORM 1023-EZ for GRAMERCY YOUTH RANCH

Field Data
EIN 47-4969580
Case Number EO-2016224-000372
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRAMERCY YOUTH RANCH
Organization’s Mailing Address 16866 WESTSIDE RD
City LAKEVIEW
State OR
ZIP 97630
Accounting period End 12
Primary contact name KELLY MCGARVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE HOWELL
DIRECTOR
515 NW DIMMICK
GRANTS PASS OR 97526

Officer/Director/Trustee Two

JOLIE KERN
DIRECTOR
1843 SW HUNGRY HILL DR
GRANTS PASS OR 97526

Officer/Director/Trustee Three

KENNETH KYLE
DIRECTOR
4062 COUNTY RD 60
LIKELY CA 96116

Officer/Director/Trustee Four

LYDIA MCGARVA
DIRECTOR
509 N EAST ST
ALTURAS CA 96101

Officer/Director/Trustee Five

KELLY MCGARVA
DIRECTOR
16866 WESTSIDE RD
LAKEVIEW OR 97630

Organization’s website HTTPS://WWW.FACEBOOK.COM/GRAMERCYYOUTHRANCH/
Organization’s email GRAMERCYYOUTHRANCH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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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