FORM 1023-EZ for THE MATTHEW UNREIN MEMORIAL FOUNDATION

Field Data
EIN 83-2266636
Case Number EO-2018299-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MATTHEW UNREIN MEMORIAL FOUNDATION
Organization’s Mailing Address 595 S PERSHING STREET
City MT ANGEL
State OR
ZIP 97362
Accounting period End 12
Primary contact name TAMELA UNREIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD GARDNER
CHIEF EXECUTIVE OFFICER
5236 TODD COURT N
KEZIER OR 97303

Officer/Director/Trustee Two

BRIAN GARDNER
CHIEF OPERATING OFFICER
1512 HUNTER AVENUE N
KEIZER OR 97303

Officer/Director/Trustee Three

SHIRLEY GARDNER
CHIEF PROGRAM OFFICER
5236 TODD COURT N
KEIZER OR 97303

Officer/Director/Trustee Four

DARIN UNREIN
CHIEF FINANCIAL OFFICER
595 S PERSHING STREET
MT ANGEL OR 97362

Officer/Director/Trustee Five

TAMELA UNREIN
SECRETARY
595 S PERSHING STREET
MT ANGEL OR 97362

Organization’s website
Organization’s email TAMELA@PACIFICSTAIR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F40 - Hot Line, Crisis Intervention Services
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 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 TAMELA UNREIN
Signature Title SECRETARY
Signature Date 10/24/18

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