FORM 1023-EZ for SOUTHERN WASCO COUNTY LIBRARY FOUNDATION

Field Data
EIN 85-1245398
Case Number EO-2020212-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN WASCO COUNTY LIBRARY FOUNDATION
Organization’s Mailing Address 507 GRANT AVENUE
City MAUPIN
State OR
ZIP 97037
Accounting period End 12
Primary contact name JESSICA ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK KAY
VICE PRESIDENT
405 ELROD AVENUE
MAUPIN OR 97037

Officer/Director/Trustee Two

KEELIA JOHNSTON
PRESIDENT
91443 HINTON RD
MAUPIN OR 97037

Officer/Director/Trustee Three

BRONTE DOD
SECRETARY
BOX 182
MAUPIN OR 97037

Officer/Director/Trustee Four

KATHLEEN WILLIS
TREASURER
83121 TYGH VALLEY ROAD
TYGH VALLEY OR 97063

Officer/Director/Trustee Five

JESSICA ROSE
DIRECTOR
403 STAATS AVENUE
MAUPIN OR 97037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B70 - Libraries
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JESSICA ROSE
Signature Title DIRECTOR
Signature Date 7/28/2020

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