FORM 1023-EZ for SOUTH WILLAMETTE SOLUTIONS

Field Data
EIN 84-2003040
Case Number EO-2019163-000360
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH WILLAMETTE SOLUTIONS
Organization’s Mailing Address 47663 HWY 58 SUITE A
City OAKRIDGE
State OR
ZIP 97463
Accounting period End 12
Primary contact name SARAH ALTEMUS-POPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH ALTEMUS-POPE
OFFICER
47663 HWY 58 SUITE A
OAKRIDGE OR 97463

Officer/Director/Trustee Two

DAVID CHAMBERLAIN
DIRECTOR
47663 HWY 58 SUITE A
OAKRIDGE OR 97463

Officer/Director/Trustee Three

SUSAN OBERMEYER
DIRECTOR
47663 HWY 58 SUITE A
OAKRIDGE OR 97463

Officer/Director/Trustee Four

PAULA HEBERT
DIRECTOR
47663 HWY 58 SUITE A
OAKRIDGE OR 97463

Officer/Director/Trustee Five

THALIA LERIN
DIRECTOR
47663 HWY 58 SUITE A
OAKRIDGE OR 97463

Organization’s website WWW.SOUTHWILLAMETTE.WIXSITE.COM/SWFC
Organization’s email DIRECTOR@SWFCOLLABORATIVE.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
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 Yes
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 SARAH ALTEMUS-POPE
Signature Title OFFICER
Signature Date 6/10/19

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