FORM 1023-EZ for UNIVERSALIST RECOVERY CHURCH

Field Data
EIN 46-3197583
Case Number EO-2015292-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIVERSALIST RECOVERY CHURCH
Organization’s Mailing Address 1133 NE 181ST AVE
City PORTLAND
State OR
ZIP 97230-6716
Accounting period End 12
Primary contact name BARBARA STEVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA STEVENS
EXECUTIVE DIRECTOR, EX-OFFICIO
1928 NE 77TH AVE
PORTLAND OR 97213

Officer/Director/Trustee Two

TERRY BARRETT
PRESIDENT
427 DUNGENESS MEADOWS
SEQUIM WA 98382

Officer/Director/Trustee Three

BARBARA MEYERS
SECRETARY
38132 KIMBRO ST
FREMONT CA 94536

Officer/Director/Trustee Four

SELENNA BAXTER
BOARD OF TRUSTEES AT LARGE MEMBER
747 W POWELL BLVD
GRESHAM OR 97030

Organization’s website WWW.URCPORTLAND.ORG
Organization’s email INFO@URCPORTLAND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2013
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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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