FORM 1023-EZ for AXEMEN ANGELS

Field Data
EIN 81-4579388
Case Number EO-2018064-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AXEMEN ANGELS
Organization’s Mailing Address 400 E 19TH AVENUE
City EUGENE
State OR
ZIP 97401
Accounting period End 6
Primary contact name LAURIE A NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER STEIN
PRESIDENT AND DIRECTOR
400 E 19TH AVENUE
EUGENE OR 97401

Officer/Director/Trustee Two

TRISTA NEUMAN
SECRETARY AND DIRECTOR
400 E 19TH AVENUE
EUGENE OR 97401

Officer/Director/Trustee Three

JONI DE SAINT PHALLE
TREASURER AND DIRECTOR
400 E 19TH AVENUE
EUGENE OR 97401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/16
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 Yes
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 HEATHER STEIN
Signature Title PRESIDENT AND DIRECTOR
Signature Date 3/1/18

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