FORM 1023-EZ for KEEPING ASHLAND WOMEN SAFE

Field Data
EIN 83-2331704
Case Number EO-2018302-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEEPING ASHLAND WOMEN SAFE
Organization’s Mailing Address 1651 SISKIYOU BOULEVARD
City ASHLAND
State OR
ZIP 97520
Accounting period End 12
Primary contact name ALAYA KETANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAYA KETANI
EXECUTIVE DIRECTOR
1651 SISKIYOU BOULEVARD
ASHLAND OR 97520

Officer/Director/Trustee Two

TAMRA BOKAL
TREASURER
550 COVE ROAD
ASHLAND OR 97520

Officer/Director/Trustee Three

JACQUELINE VIDALO
BOARD MEMBER
3785 WINDGATE ST
MEDFORD OR 97502

Officer/Director/Trustee Four

MELISSA ORR
SECRETARY
1495 MOON TERRACE
MEDFORD OR 97504

Organization’s website HTTP://KEEPINGASHLANDWOMENSAFE.COM
Organization’s email KEEPINGASHLANDWOMENSAFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R24 - Women's Rights
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALAYA KETANI
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/25/18

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