FORM 1023-EZ for GLIDE REVITALIZATION

Field Data
EIN 82-3265082
Case Number EO-2017306-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLIDE REVITALIZATION
Organization’s Mailing Address POST OFFICE BOX 198
City GLIDE
State OR
ZIP 97443
Accounting period End 12
Primary contact name ALISON DOTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALISON DOTY
CEO
PO BOX 198
GLIDE OR 97443

Officer/Director/Trustee Two

TEDY FROMDAHL
SECRETARY
PO BOX 204
GLIDE OR 97443

Officer/Director/Trustee Three

JODY DOTY
TREASURER
PO BOX 198
GLIDE OR 97443

Organization’s website
Organization’s email ADOTY01@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance Yes
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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