FORM 1023-EZ for WILLAMETTE AGILITY GROUP SERVICE FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-2777483 |
| Case Number | EO-2017277-000253 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WILLAMETTE AGILITY GROUP SERVICE FOUNDATION |
| Organization’s Mailing Address | 33901 MOUNT TOM DR |
| City | HARRISBURG |
| State | OR |
| ZIP | 97446 |
| Accounting period End | 12 |
| Primary contact name | SUZANNE HANNA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SYLVIA MOORE
PRESIDENT
33198 SE WHITE PINE RD
CORVALLIS OR 97333
Officer/Director/Trustee Two
PATI CRAVEN
VICE PRESIDENT
5745 SW PHILOMATH BLVD
CORVALLIS OR 97333
Officer/Director/Trustee Three
SHAWNA GRIBSKOV
SECRETARY
PO BOX 51043
EUGENE OR 97405
Officer/Director/Trustee Four
KAREN TIMM
TREASURER
3525 NW DIMPLE HILL RD
CORVALLIS OR 97330
Officer/Director/Trustee Five
SUZANNE HANNA
AGENT
33901 MOUNT TOM DR
HARRISBURG OR 97446
| Organization’s website | |
|---|---|
| Organization’s email | HANSANAGIL@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/5/2017 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D40 - Veterinary Services |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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