FORM 1023-EZ for QUILT-A-SMILE

Field Data
EIN 83-2653978
Case Number EO-2019086-000524
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUILT-A-SMILE
Organization’s Mailing Address 1974 E MCANDREWS
City MEDFORD
State OR
ZIP 97504
Accounting period End 12
Primary contact name ANNE NICHOLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNE NICHOLSON
PRESIDENT
2102 QUAIL POINT CIRCLE
MEDFORD OR 97504

Officer/Director/Trustee Two

RAE OLNEY
SECRETARY/TREASURER
3855 CREEK MONT DRIVE
MEDFORD OR 97504

Officer/Director/Trustee Three

LOUISE MILLER
PAST PRESIDENT
925 REDDY AVE
MEDFORD OR 97504

Officer/Director/Trustee Four

MERRIE MORGAN
DIRECTOR
370 ROBLEDA DT
CENTRAL POINT OR 97502

Officer/Director/Trustee Five

CAROL KOLKEMO
DIRECTOR
12838 RAMSEY ROAD
GOLD HILL OR 97525

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 ANNE NICHOLSON
Signature Title PRESIDENT
Signature Date 3/25/19

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