FORM 1023-EZ for OREGON LYME DISEASE NETWORK
| Field | Data |
|---|---|
| EIN | 61-1778974 |
| Case Number | EO-2016112-000281 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | OREGON LYME DISEASE NETWORK |
| Organization’s Mailing Address | PO BOX 6632 |
| City | BEND |
| State | OR |
| ZIP | 97708 |
| Accounting period End | 6 |
| Primary contact name | THERESA DENHAM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
THERESA DENHAM
PRESIDENT
PO BOX 6632
BEND OR 97708
Officer/Director/Trustee Two
STEVEN HEPPE
VICE PRESIDENT
PO BOX 6632
BEND OR 97708
Officer/Director/Trustee Three
MARY JANE HEPPE
PUBLIC LIAISON/SECRETARY
PO BOX 6632
BEND OR 97708
Officer/Director/Trustee Four
DR MARTY ROSS
MEDICAL DIRECTOR
PO BOX 6632
BEND OR 97708
Officer/Director/Trustee Five
KATIE MCLOUGHLIN
DIRECTOR OF EDUCATION
PO BOX 6632
BEND OR 97708
| Organization’s website | WWW.OREGONLYME.COM |
|---|---|
| Organization’s email | THERESA@OREGONLYME.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/9/2014 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: Yes Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| Compensation of Officer director trustee | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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