FORM 1023-EZ for GASTON CLASS OF 2021 GRAD NIGHT

Field Data
EIN 85-4114529
Case Number EO-2021039-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GASTON CLASS OF 2021 GRAD NIGHT
Organization’s Mailing Address 1268 HARTFORD DR
City FOREST GROVE
State OR
ZIP 97116-2698
Accounting period End 7
Primary contact name MARTHA OLIVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTHA OLIVER
PRESIDENT
15480 NE CUNNINGHAM LN
GASTON OR 97119-8448

Officer/Director/Trustee Two

BREANNA JOHNSON
CO-VICE PRESIDENT
9500 SW OLD HIGHWAY 47
GASTON OR 97119-7853

Officer/Director/Trustee Three

LISA TALLENT
CO-VICE PRESIDENT
38816 SW HARTLEY RD
GASTON OR 97119-8513

Officer/Director/Trustee Four

JESSIE LAMB
SECRETARY
200 2ND STREET
GASTON OR 97119

Officer/Director/Trustee Five

SANDY KURKOWSKI
TREASURER
1268 HARTFORD DR
FOREST GROVE OR 97116-2698

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
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 MARTHA OLIVER
Signature Title PRESIDENT
Signature Date 12/4/2020

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