FORM 1023-EZ for HOMEBASE SHELTERS OF SALEM
| Field | Data |
|---|---|
| EIN | 81-2966233 |
| Case Number | EO-2016214-000526 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HOMEBASE SHELTERS OF SALEM |
| Organization’s Mailing Address | 580 COLLEGE DR NW |
| City | SALEM |
| State | OR |
| ZIP | 97304-4507 |
| Accounting period End | 12 |
| Primary contact name | MAYA CLOSE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DELANA BEATON
PRESIDENT
1025 21ST STREET NE
SALEM OR 97301-1511
Officer/Director/Trustee Two
PAMELLA WATSON
VICE PRESIDENT
7077 LIPSCOMB ST SE
SALEM OR 97317-9537
Officer/Director/Trustee Three
VERENA WESSEL
VICE PRESIDENT
570 SUNSET AVE N
KEIZER OR 97303-5921
Officer/Director/Trustee Four
MAYA CLOSE
SECRETARY
580 COLLEGE DR NW
SALEM OR 97304-4507
Officer/Director/Trustee Five
KATHLEEN THORPE
TREASURER
5583 BASIL ST NE
SALEM OR 97317-3320
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/16/2016 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L41 - Homeless, Temporary Shelter For |
| 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 | Yes |
| Compensation of Officer director trustee | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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