FORM 1023-EZ for LINCOLN SAVAGE MIDDLE SCHOOL ACTIVECLUB

Field Data
EIN 93-1252253
Case Number EO-2016239-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LINCOLN SAVAGE MIDDLE SCHOOL ACTIVECLUB
Organization’s Mailing Address 8551 NEW HOPE ROAD
City GRANTS PASS
State OR
ZIP 97527
Accounting period End 8
Primary contact name NANCY HURLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY HURLEY
PRESIDENT
125 SPRINGBROOK DRIVE
GRANTS PASS OR 97527

Officer/Director/Trustee Two

MARK HIGGINS
PRINCIPAL
8551 NEW HOPE ROAD
GRANTS PASS OR 97527

Organization’s website N/A
Organization’s email NHURLEY11@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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
Signature Title
Signature Date

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