FORM 1023-EZ for FRIENDS OF IVERSON PARK

Field Data
EIN 81-2846392
Case Number EO-2018270-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF IVERSON PARK
Organization’s Mailing Address 1101 SW PIONEER WAY
City MYRTLE CREEK
State OR
ZIP 97457
Accounting period End 5
Primary contact name DIANA LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANA LARSON
TREASURER
1301 SW PIONEER WAY
MYRTLE CREEK OR 97457

Officer/Director/Trustee Two

LARRY LYNCH
PRESIDENT
1407 JIGGS LANE
WINSTON OR 97496

Officer/Director/Trustee Three

RICHARD CHASM
SECRETARY
PO BOX 51
DILLARD OR 97432

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/16
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 DIANA LARSON
Signature Title TREASURER
Signature Date 9/24/18

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