FORM 1023-EZ for SISTERS COLD WEATHER SHELTER

Field Data
EIN 32-0635347
Case Number EO-2020307-000542
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SISTERS COLD WEATHER SHELTER
Organization’s Mailing Address 770 S MAPLE ST
City SISTERS
State OR
ZIP 97759-9420
Accounting period End 12
Primary contact name JOHN O MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVELYN BELLOTTI-BUSCH
CO-CHAIR
14504 CROSSROADS LOOP
SISTERS OR 97759-9885

Officer/Director/Trustee Two

JIM PRICHARD
CO-CHAIR
68085 KNIK ROAD
SISTERS OR 97759-0555

Officer/Director/Trustee Three

JOHN MILLER
SECRETARY
770 S MAPLE ST
SISTERS OR 97759-9420

Organization’s website
Organization’s email SISTERSCOLDWEATHERSHELTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
Organization’s purpose Charitable: Yes
Religious: No
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 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 JOHN MILLER
Signature Title SECRETARY
Signature Date 10/30/2020

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