FORM 1023-EZ for DALAS BLUE ANGELS

Field Data
EIN 82-5116785
Case Number EO-2019029-000813
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DALAS BLUE ANGELS
Organization’s Mailing Address 255 N 5TH ST
City LEBANON
State OR
ZIP 97355
Accounting period End 12
Primary contact name DEBBIE EBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY KERBY
PRESIDENT
585 PARK ST
LEBANON OK 97355

Officer/Director/Trustee Two

DANITA MARLOW
VICE PRESIDENT
1130 OAK ST SE
ALBANY OR 97321

Officer/Director/Trustee Three

DEBRA EBY
TREASURER
368 E ISABELLA
LEBANON OR 97355

Officer/Director/Trustee Four

JOY CHASE
SECRETARY
37950 RIVER DR
LEBANON OK 97355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: No
Religious: No
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 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 DEBRA EBY
Signature Title TREASURER
Signature Date 12/18/18

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