FORM 1023-EZ for UMATILLA COUNTY SEARCH AND RESCUE FOUNDATION INC

Field Data
EIN 83-4019365
Case Number EO-2019310-000074
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UMATILLA COUNTY SEARCH AND RESCUE FOUNDATION INC
Organization’s Mailing Address 4700 NW PIONEER PLACE
City PENDLETON
State OR
ZIP 97801
Accounting period End 12
Primary contact name DWIGHT JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWIGHT JOHNSON
CHAIR OF THE BOARD
918 SE 1ST STREET
PENDLETON OR 97801

Officer/Director/Trustee Two

ROBERT ENGLISH
SECRETARY/TREASURER
404 SE DORION AVE NO 229
PENDLETON OR 97801

Officer/Director/Trustee Three

JAN GOOD
DIRECTOR
929 NE 4TH STREET
PILOT ROCK OR 97868

Officer/Director/Trustee Four

CRAIG RUSSELL
DIRECTOR
70694 SW DOUGLAS DR
PENDLETON OR 97801

Officer/Director/Trustee Five

KEVIN SCHEIBNER
DIRECTOR
50608 BROOK ROAD
ATHENA OR 97813

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M19 - Nonmonetary Support N.E.C.
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 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 DWIGHT JOHNSON
Signature Title CHAIR OF THE BOARD
Signature Date 11/4/19

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