FORM 1023-EZ for CENTRAL OREGON AUTISM MOVEMENT

Field Data
EIN 84-2267418
Case Number EO-2019191-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL OREGON AUTISM MOVEMENT
Organization’s Mailing Address 3048 SW HIGH DESERT DR STE K
City PRINEVILLE
State OR
ZIP 97754
Accounting period End 6
Primary contact name MELISSA ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA ROBERTSROMO
EXECUTIVE DIRECTOR
3048 SW HIGH DESERT DR STE K
PRINEVILLE OR 97754

Officer/Director/Trustee Two

TONYA ROBERTSON
PRESIDENT
3048 SW HIGH DESERT DR STE K
PRINEVILLE OR 97754

Officer/Director/Trustee Three

BETTY KRAMP
SECRETARY
3048 SW HIGH DESERT DR STE K
PRINEVILLE OR 97754

Organization’s website
Organization’s email MELISSAR.COAM@GMAIL.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 MELISSA ROBERTSROMO
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/8/19

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