FORM 1023-EZ for MOUNTAIN OF MADRONE MEDITATION CENTER

Field Data
EIN 84-3379748
Case Number EO-2019301-000643
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN OF MADRONE MEDITATION CENTER
Organization’s Mailing Address 2593 NW MASER DR
City CORVALLIS
State OR
ZIP 97330
Accounting period End 12
Primary contact name ALDEN GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALDEN GRAY
PRESIDENT, DIRECTOR
2593 NW MASER DR
CORVALLIS OR 97330

Officer/Director/Trustee Two

TERRI ODELL
TREASURER, DIRECTOR
29710 SHADY OAK DR
CORVALLIS OR 97333

Officer/Director/Trustee Three

SUE CRAWFORD
SECRETARY, DIRECTOR
3093 NE NEWCASTLE PL
CORVALLIS OR 97330

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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 ALDEN GRAY
Signature Title PRESIDENT, DIRECTOR
Signature Date 10/25/19

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