FORM 1023-EZ for MATT HARTNER MEMORIAL

Field Data
EIN 81-0844981
Case Number EO-2017110-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATT HARTNER MEMORIAL
Organization’s Mailing Address 2515 SW 11 MILE DR
City GRESHAM
State OR
ZIP 97080-9595
Accounting period End 12
Primary contact name JIM HARTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM HARTNER
DIRECTOR
2515 SW 11 MILE DR
GRESHAM OR 97080-9595

Officer/Director/Trustee Two

CAROLINE HARTNER
TREASURER
2515 SW 11 MILE DR
GRESHAAM OR 97080-9595

Officer/Director/Trustee Three

JAMIE PIETZOLD
VICE DIRECTOR
4790 SE 10TH TERRACE
GRESHAM OR 97080

Officer/Director/Trustee Four

JULIE STICKNEY
SECRETARY
4287 NE 1ST STREET
GRESHAM OR 07030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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
Signature Title
Signature Date

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