FORM 1023-EZ for FALLS CITY THRIVES

Field Data
EIN 85-0701691
Case Number EO-2020121-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FALLS CITY THRIVES
Organization’s Mailing Address 248 SHELDON AVENUE
City FALLS CITY
State OR
ZIP 97344-9710
Accounting period End 6
Primary contact name LYNN SAMPSON-BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY OLDHAM
TREASURER
17755 SHADY LANE ROAD
MONMOUTH OR 97361-9536

Officer/Director/Trustee Two

LYNN SAMPSON-BAILEY
CHAIR
132 CAREY COURT
FALLS CITY OR 97344-9808

Officer/Director/Trustee Three

VICTORIA AVERY
VICE-CHAIR
5130 WAYMIRE ROAD
DALLAS OR 97338-9454

Officer/Director/Trustee Four

DANI HAVILAND
SECRETARY
248 SHELDON AVENUE
FALLS CITY OR 97344-9710

Officer/Director/Trustee Five

JEREMY GORDON
DIRECTOR (NON-OFFICER)
180 DAYTON STREET
FALLS CITY OR 97344-9811

Organization’s website N/A
Organization’s email FALLSCITYTHRIVES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 LYNN SAMPSON-BAILEY
Signature Title CHAIR
Signature Date 4/28/2020

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