FORM 1023-EZ for FIELDS OF PEACE

Field Data
EIN 83-1878993
Case Number EO-2018312-000102
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIELDS OF PEACE
Organization’s Mailing Address 3355 OTTER CREST LOOP
City DEPOE BAY
State OR
ZIP 97341
Accounting period End 12
Primary contact name MARTHA PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROD DELUCA
BOARD CHAIR
3355 OTTER CREST LOOP
DEPOE BAY OR 97341

Officer/Director/Trustee Two

JANE SIEBERT
BOARD SECRETARY
3355 OTTER CREST LOOP
DEPOE BAY OR 97341

Officer/Director/Trustee Three

MARTHA PAYNE
BOARD MEMBER
3355 OTTER CREST LOOP
DEPOE BAY OR 97341

Officer/Director/Trustee Four

WAYNE MARTIN
BOARD MEMBER
3355 OTTER CREST LOOP
DEPOE BAY OR 97341

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 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 MARTHA PAYNE
Signature Title BOARD MEMBER
Signature Date 11/5/18

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