FORM 1023-EZ for COLUMBIA RIVER PAYEE SERVICES

Field Data
EIN 83-3229087
Case Number EO-2019038-000875
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLUMBIA RIVER PAYEE SERVICES
Organization’s Mailing Address 634 MARTIN WAY
City VANCOUVER
State OR
ZIP 98661
Accounting period End 5
Primary contact name JERRY LANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY LANG
PRESIDENT
634 MARTIN WAY
VANCOUVER WA 98661

Officer/Director/Trustee Two

TERRY THOMPSON
TREASURER
5504 SE GLADSTONE STREET
PORTLAND OR 97206

Officer/Director/Trustee Three

JENNIFER YOUNG
CHAIRPERSON
4621 SE 84TH AVE
PORTLAND OR 97266

Organization’s website
Organization’s email COLUMBIARIVERPAYEESERVICES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P51 - Financial Counseling, Money Management
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 JERRY LANG
Signature Title PRESIDENT
Signature Date 2/3/19

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