FORM 1023-EZ for BLUE CLIFF ZEN CENTER

Field Data
EIN 81-3626615
Case Number EO-2016343-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE CLIFF ZEN CENTER
Organization’s Mailing Address 1994 POTTER STREET
City EUGENE
State OR
ZIP 97405
Accounting period End 12
Primary contact name DAVID ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN MASBAUM
PRESIDENT
2322 HILYARD STREET
EUGENE OR 97405

Officer/Director/Trustee Two

RENEE LEGRIS
VICE-PRESIDENT
4066 TERRINGTON AVENUE
EUGENE OR 97404

Officer/Director/Trustee Three

WILL DICKERSON
SECRETARY
2635 KINCAID STREET
EUGENE OR 97405

Officer/Director/Trustee Four

LISA BROWN
TREASURER
711 RAYNER
SPRINGFIELD OR 97477

Officer/Director/Trustee Five

KS WALLACH
DIRECTOR
PO BOX 11051
EUGENE OR 97440

Organization’s website WWW.BLUECLIFFZEN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
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 No
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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