FORM 1023-EZ for LINCOLN COUNTY MTA

Field Data
EIN 80-0913209
Case Number EO-2017290-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LINCOLN COUNTY MTA
Organization’s Mailing Address PO BOX 1515
City WALDPORT
State OR
ZIP 97394-1515
Accounting period End 6
Primary contact name JESSICA TREON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA TREON
TREASURER
P O BOX 1515
WALDPORT OR 97394-1515

Officer/Director/Trustee Two

TIFFANY JEFFERSON
PRESIDENT
2440 MOSSY LN
TOLEDO OR 97391

Officer/Director/Trustee Three

ANDREA ROESEL
SECRETARY
795 SW 29TH ST
LINCOLN CITY OR 97367

Officer/Director/Trustee Four

CATHY CHAMPION-PREDMORE
VICE PRESIDENT
2310 NW CONVOY WAY
WALDPORT OR 97394

Organization’s website LINCOLNCOUNTYOMTA.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/1992
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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