FORM 1023-EZ for OREGON CANCER REGISTRARS ASSOCIATION

Field Data
EIN 80-0534191
Case Number EO-2017291-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OREGON CANCER REGISTRARS ASSOCIATION
Organization’s Mailing Address 23182 S BLUEGRASS LN
City ESTACADA
State OR
ZIP 97023
Accounting period End 12
Primary contact name VICKI SHINDLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL FUNK
PRESIDENT
1470 SE WALNUT APT 101
HILLSBORO OR 97123

Officer/Director/Trustee Two

JENNIFER JOHNSON
PRESIDENT-ELECT
2881 SW ELMER NELSON LN
GRANTS PASS OR 97527

Officer/Director/Trustee Three

LAURA WALLACE
SECRETARY
13997 CHELSEA DR
LAKE OSWEGO OR 97035

Officer/Director/Trustee Four

VICKI SHINDLER
TREASURER
23182 S BLUEGRASS LN
ESTACADA OR 97023

Organization’s website WWW.OCRA-OREGON.ORG
Organization’s email OCRA1987@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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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