FORM 1023-EZ for UNION COUNTY WARMING STATION

Field Data
EIN 82-3820862
Case Number EO-2018150-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNION COUNTY WARMING STATION
Organization’s Mailing Address 10801 EMILY DR
City ISLAND CITY
State OR
ZIP 97850
Accounting period End 12
Primary contact name CAMREN MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGIE PETERS
TRUSTEE
908 1/2 N AVE
LA GRANDE OR 97850

Officer/Director/Trustee Two

AUDREY SMITH
TRUSTEE
302 INVERNESS
SUMMERVILLE OR 97876

Officer/Director/Trustee Three

BECKY NOLL
TRUSTEE
68657 HUNTER RD
SUMMERVILLE OR 97876

Officer/Director/Trustee Four

DENNIS YOUNG
TRUSTEE
1005 L AVE
LA GRANDE OR 97850

Officer/Director/Trustee Five

CAMREN MILLER
DIRECTOR
10801 EMILY DRIVE
ISLAND CITY OR 97850

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAMREN MILLER
Signature Title DIRECTOR
Signature Date 5/25/18

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