FORM 1023-EZ for ENCOMPASS YAMHILL VALLEY

Field Data
EIN 85-3081668
Case Number EO-2020317-000636
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ENCOMPASS YAMHILL VALLEY
Organization’s Mailing Address 214 NW 15TH STREET
City MCMINNVILLE
State OR
ZIP 97128-3010
Accounting period End 12
Primary contact name HOWIE HARKEMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOWIE HARKEMA
PRESIDENT/CEO
214 NW 15TH STREET
MCMINNVILLE OR 97128-3010

Officer/Director/Trustee Two

PAM VERNON
TREASURER
960 HILL DRIVE SW
WILLAMINA OR 97396

Officer/Director/Trustee Three

EDIE JESSUP
VICE PRESIDENT
9070 DE JONG ROAD
AMITY OR 97101-9518

Officer/Director/Trustee Four

LIZ MARLIA-STEIN
SECRETARY
1525 NE 18TH STREET
MCMINNVILLE OR 97128

Officer/Director/Trustee Five

PAULINE METOXEN
BOARD MEMBER AT LARGE
811 SITKA AVE
NEWBERG OR 97132-1321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 HOWIE HARKEMA
Signature Title PRESIDENT/CEO
Signature Date 11/10/2020

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