FORM 1023-EZ for OREGON SOCIETY FOR POST-ACUTE AND LONG-TERM CARE

Field Data
EIN 82-4328297
Case Number EO-2020253-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OREGON SOCIETY FOR POST-ACUTE AND LONG-TERM CARE
Organization’s Mailing Address 3021 NE 72ND DR STE 9 PMB 148
City VANCOUVER
State WA
ZIP 98661
Accounting period End 12
Primary contact name MARY OLHAUSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARIN PRULHIERE MD CMD
PRESIDENT
3021 NE 72ND DR STE 9 PMB 148
VANCOUVER WA 98661

Officer/Director/Trustee Two

MICHAEL GRADY MD CMD
VICE PRESIDENT
3021 NE 72ND DR STE 9 PMB 148
VANCOUVER WA 98661

Officer/Director/Trustee Three

KRISTEN CARR
SECRETARY/TREASURER
3021 NE 72ND DR STE 9 PMB 148
VANCOUVER WA 98661

Officer/Director/Trustee Four

MARY OLHAUSEN
EXECUTIVE DIRECTOR
3021 NE 72ND DR STE 9 PMB 148
VANCOUVER WA 98661

Officer/Director/Trustee Five

MARGARET NJONJO
OFFICER
3021 NE 72ND DR STE 9 PMB 148
VANCOUVER WA 98661

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2018
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
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 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 MARY OLHAUSEN
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/4/2020

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