FORM 1023-EZ for EDEN SPIRITUAL CARE

Field Data
EIN 83-1681348
Case Number EO-2019028-000013
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDEN SPIRITUAL CARE
Organization’s Mailing Address 47 EAGLE CREST DR UNIT 26
City LAKE OSWEGO
State OR
ZIP 97035-1083
Accounting period End 12
Primary contact name SIERRA WESTBROOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIERRA WESTBROOK
FOUNDING DIRECTOR
47 EAGLE CREST DR UNIT 26
LAKE OSWEGO OR 97035-1083

Officer/Director/Trustee Two

JUSTIN WESTBROOK
SECRETARY/TREASURER
47 EAGLE CREST DR UNIT 26
LAKE OSWEGO OR 97035-1083

Officer/Director/Trustee Three

ANDREA CATLETT
VICE CHAIRPERSON
10200 E DRY CREEK RD UNIT 2-102
ENGLEWOOD CO 80112-1645

Officer/Director/Trustee Four

KATHI GATLIN
BOARD MEMBER
3716 GRAND OAK DR
NEWBERG OR 97132-7387

Officer/Director/Trustee Five

PAULA HAMPTON
BOARD MEMBER
14029 NE HWY 240
NEWBERG OR 97132-6731

Organization’s website WWW.EDENSPIRITUALCARE.ORG
Organization’s email EDENSPIRITUALCARE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/16
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 SIERRA WESTBROOK
Signature Title FOUNDING DIRECTOR
Signature Date 12/13/18

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