FORM 1023-EZ for DENNIS BENNETT MEMORIAL

Field Data
EIN 83-0949003
Case Number EO-2018186-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DENNIS BENNETT MEMORIAL
Organization’s Mailing Address 824 PINE STREET
City KLAMATH FALLS
State OR
ZIP 97601
Accounting period End 12
Primary contact name JOANNA WARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANESSA R BENNETT
PRESIDENT
627 NORTH 5TH STREET
KLAMATH FALLS OR 97601

Officer/Director/Trustee Two

LISA T SHERRILL
VICE PRESIDENT
5660 BARTLETT AVENUE
KLAMATH FALLS OR 97603

Officer/Director/Trustee Three

JOANNA M WARNER
SECRETARY/TREASURER
3252 HAMMER STREET
KLAMATH FALLS OR 97603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 JOANNA M WARNER
Signature Title SECRETARY/TREASURER
Signature Date 7/2/18

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