FORM 1023-EZ for CAVE JUNCTION HOMELESS ALLIANCE
| Field | Data |
|---|---|
| EIN | 83-4097565 |
| Case Number | EO-2019086-000578 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CAVE JUNCTION HOMELESS ALLIANCE |
| Organization’s Mailing Address | PO BOX 342 |
| City | CAVE JUNCTION |
| State | OR |
| ZIP | 97523 |
| Accounting period End | 12 |
| Primary contact name | VARDAN RIGBY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JIMMY EVANS
PRESIDENT
298 GAMAY DR
CAVE JUNCTION OR 97523
Officer/Director/Trustee Two
VARDAN RIGBY
VICE PRESIDENT
PO BOX 1451
CAVE JUNCTION OR 97523
Officer/Director/Trustee Three
JOSTINA JONES
SECRETARY TREASURER
413 ADDISON LN
CAVE JUNCTION OR 97523
Officer/Director/Trustee Four
LAURA MANCUSO
BOARD MEMBER
PO BOX 342
CAVE JUNCTION OR 97523
Officer/Director/Trustee Five
JEAN ANN MILES
BOARD MEMBER
443 ADDISON LN
CAVE JUNCTION OR 97523
| Organization’s website | WWW.CJHOMELESS.ORG |
|---|---|
| Organization’s email | VRIGBY@CJHOMELESS.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/22/19 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L01 - Alliance/Advocacy Organizations |
| 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 | 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 | 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 | VARDAN RIGBY |
| Signature Title | VICE PRESIDENT |
| Signature Date | 3/25/19 |
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