FORM 1023-EZ for OPTIMAL HEALING MUSIC
| Field | Data |
|---|---|
| EIN | 83-4673799 |
| Case Number | EO-2021093-000826 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OPTIMAL HEALING MUSIC |
| Organization’s Mailing Address | 6620 SW KING BLVD |
| City | BEAVERTON |
| State | OR |
| ZIP | 97008 |
| Accounting period End | 4 |
| Primary contact name | JACKI L CULVER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NOAH CULVER
PRESIDENT
14072 VIEW POINT CT
TIGARD OR 97224
Officer/Director/Trustee Two
LINDSEY CULVER
VICE PRESIDENT
14072 VIEW POINT CT
TIGARD OR 97224
Officer/Director/Trustee Three
JACKIE CULVER
SECRETARY
6620 SW KING BLVD
BEAVERTON OR 97008
Officer/Director/Trustee Four
TIMOTHY GORMAN
BOARD MEMBER
6620 SW KING BLVD
BEAVERTON OR 97008
Officer/Director/Trustee Five
BONNIE LUNDQUIST
BOARD MEMBER
2611 GLEN HAVEN RD
LAKE OSWEGO OR 97034
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/1/2021 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E86 - Patient Services - Entertainment, Recreation |
| 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 | JACKIE CULVER |
| Signature Title | SECRETARY |
| Signature Date | 3/3/2021 |
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