FORM 1023-EZ for SOUTHERN OREGON SANCTUARY HOMES FOUNDATION

Field Data
EIN 81-4428079
Case Number EO-2017121-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN OREGON SANCTUARY HOMES FOUNDATION
Organization’s Mailing Address 125 NORTH BROAD STREET
City KLAMATH FALLS
State OR
ZIP 97601
Accounting period End 12
Primary contact name VALINDA ALACHAPPELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY ETTERS
PRESIDENT-CEO
125 NORTH BROAD STREET
KLAMATH FALLS OR 97601

Officer/Director/Trustee Two

DEBORAH ETTERS
SECRETARY
125 NORTH BROAD STREET
KLAMATH FALLS OR 97601

Officer/Director/Trustee Three

MARK V CHOW
TREASURER
125 NORTH BROAD STREET
KLAMATH FALLS OR 97601

Officer/Director/Trustee Four

VALINDA ALACHAPPELLE
RECORDING SECRETARY
3980 TULE STREET
W SACRAMENTO CA 95691

Officer/Director/Trustee Five

LEIGHLA ETTERS
MEMBER
125 NORTH BROAD STREET
KLAMATH FALLS OR 97601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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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