FORM 1023-EZ for DEEP WATER MEN INC

Field Data
EIN 47-4368917
Case Number EO-2019259-000607
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEEP WATER MEN INC
Organization’s Mailing Address 14780 SW 98TH AVE
City TIGARD
State OR
ZIP 97224-4702
Accounting period End 12
Primary contact name PHIL THORNBURG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP THORNBURG
P)RESIDENT AND DIRECTOR
14780 SW 98TH AVE
TIGARD OR 97224-4702

Officer/Director/Trustee Two

JARED JONES
VICE PRESIDENT AND DIRECTOR
214 4TH STREET
NEWBERG OR 97132

Officer/Director/Trustee Three

TIM TIMMERMAN
SECRETARY AND DIRECTOR
800 EAST FRANKLIN
NEWBERG OR 97132

Officer/Director/Trustee Four

TOM STEVENS
TREASURER AND DIRECTOR
6055 SW SEQUOIA DRIVE
TUALATIN OR 97062

Officer/Director/Trustee Five

DAVID BLAKESLEE
MEMBER AND DIRECTOR
20408 NOBLE LANE
WEST LINN OR 97068

Organization’s website WWW.DEEPWATERMEN.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/15
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PHILIP THORNBURG
Signature Title P)RESIDENT AND DIRECTOR
Signature Date 9/11/19
EIN 47-4368917
Case Number EO-2015208-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEEP WATER MEN INC
Organization’s Mailing Address 14780 SW 98TH AVENUE
City TIGARD
State OR
ZIP 97224-4702
Accounting period End 12
Primary contact name PHIL THORNBURG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHIL THORNBURG
PRESIDENT AND DIRECTOR
14780 SW 98TH AVE
TIGARD OR 97224-4702

Officer/Director/Trustee Two

CORWYNN BEALS
VICE PRESIDENT AND DIRECTOR
22630 NE HIDDEN SPRINGS RD
DUNDEE OR 97115-9125

Officer/Director/Trustee Three

TIM TIMMERMAN
SECRETARY AND DIRECTOR
800 E FRANKLIN ST
NEWBERG OR 97132-2619

Officer/Director/Trustee Four

DAVID BLAKESLEE
TREASURER AND DIRECTOR
20408 S NOBLE LANE
WEST LINN OR 97068-7218

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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