FORM 1023-EZ for HOUSE OF EZER

Field Data
EIN 81-5157933
Case Number EO-2017058-000778
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF EZER
Organization’s Mailing Address 2885 EASTLAKE DR SE
City SALEM
State OR
ZIP 97306
Accounting period End 12
Primary contact name VALERIE GEER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERIE GEER
PRESIDENT
2885 EASTLAKE DR SE
SALEM OR 97306

Officer/Director/Trustee Two

DELLA NILES
TREASURER
5568 LANDON ST SE
SALEM OR 97306

Officer/Director/Trustee Three

BETHANY ALCOCK
SECRETARY
5256 LONE FIR AVE SE
SALEM OR 97306

Officer/Director/Trustee Four

JENNIFER BEEBE
BOARD MEMBER
4299 NINA AVE SE
SALEM OR 97306

Officer/Director/Trustee Five

JENNIFER HENDERSON
BOARD MEMBER
5630 LANDON ST SE
SALEM OR 97306

Organization’s website WWW.HOUSEOFEZER.ORG
Organization’s email INFO@HOUSEOFEZER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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
Signature Title
Signature Date

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