FORM 1023-EZ for EMBRACE BEND

Field Data
EIN 84-1827194
Case Number EO-2020139-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMBRACE BEND
Organization’s Mailing Address 2312 NW LOLO DRIVE
City BEND
State OR
ZIP 97703
Accounting period End 12
Primary contact name MEGAN PERKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN PERKINS
PRESIDENT
2312 NW LOLO DRIVE
BEND OR 97703

Officer/Director/Trustee Two

NAOMI CRUMMETT
VICE PRESIDENT
2328 NW LOLO DRIVE
BEND OR 97703

Officer/Director/Trustee Three

LAURALEI GARRITY
SECRETARY
20730 EMPIRE AVE APT 120
BEND OR 97701

Officer/Director/Trustee Four

JESSICA AMASCUAL
BOARD MEMBER
20880 89TH STREET
BEND OR 97702

Officer/Director/Trustee Five

TERRELL YOUNG
BOARD MEMBER
2312 NW LOLO DRIVE
BEND OR 97703

Organization’s website EMBRACEBEND.COM
Organization’s email EMBRACEBEND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - 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 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 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 MEGAN PERKINS
Signature Title PRESIDENT
Signature Date 5/14/2020

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