FORM 1023-EZ for ORC BELLY INNDUSTRIES

Field Data
EIN 82-4323825
Case Number EO-2020030-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORC BELLY INNDUSTRIES
Organization’s Mailing Address 193 S 46TH ST
City SPRINGFIELD
State OR
ZIP 97478
Accounting period End 12
Primary contact name LUANNE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE LINDSTROM
BOD PRESIDENT
770 BREYS AVE NE
SALEM OR 97301

Officer/Director/Trustee Two

MATTHEW LEDER
BOD VICE PRESIDENT
738 15TH ST
WASHOUGAL WA 98671

Officer/Director/Trustee Three

DANA BURIAN
BOD SECRETARY
193 S 46TH ST
SPRINGFIELD OR 97478

Officer/Director/Trustee Four

SASHA CAMERON
BOD TREASURER
8325 HAYHURST RD
YONCALLA OR 97499

Officer/Director/Trustee Five

LUANNE JOHNSON
EXECUTIVE DIRECTOR
324 CALAPOOIA ST SW UNIT 1
ALBANY OR 97321

Organization’s website WWW.ORCBELLY.ORG
Organization’s email ORCBELLYINNDUSTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2018
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LUANNE JOHNSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/28/2020

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