FORM 1023-EZ for EASTERN OREGON CANCER NETWORK

Field Data
EIN 83-2822047
Case Number EO-2019074-000732
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTERN OREGON CANCER NETWORK
Organization’s Mailing Address 1044 JACKSON FELTS ROAD
City JOELTON
State TN
ZIP 37080-4839
Accounting period End 12
Primary contact name JULIE WYATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MOORE
PRESIDENT
11 BRIDGEWAY LANE
WATERSOUND FL 32461-8510

Officer/Director/Trustee Two

ROBERT LOBUE
VICE PRESIDENT
2300 PUEBLO PLACE
KINGMAN AZ 86401-3341

Officer/Director/Trustee Three

HEATH BONSALL
TREASURER
2250 W WOODWORTH LOOP/STE 100
PALMER TN 99645-7457

Officer/Director/Trustee Four

JULIE WYATT
SECRETARY
1044 JACKSON FELTS ROAD
JOELTON TN 37080-4839

Officer/Director/Trustee Five

JUNO CHOE
ADVISOR
2500 FALCONCREST LOOP
RICHLAND WA 99352-9314

Organization’s website WWW.EASTERNORCANCER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DANIEL MOORE
Signature Title PRESIDENT
Signature Date 3/13/19

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