FORM 1023-EZ for OREGON PREGNANCY CENTER ASSOCIATION

Field Data
EIN 81-4428848
Case Number EO-2018192-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OREGON PREGNANCY CENTER ASSOCIATION
Organization’s Mailing Address 170 MAGNOLIA DR
City CRESWELL
State OR
ZIP 97426
Accounting period End 12
Primary contact name BEVERLY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY GADBAUGH
DIRECTOR
7931 NE HALSEY ST SUITE 100
PORTLAND OR 97213

Officer/Director/Trustee Two

MIKE REID
DIRECTOR
2630 MARKET ST NE
SALEM OR 97301

Officer/Director/Trustee Three

DEBBIE TRACY
DIRECTOR
136 W VNE ST
LEBANON OR 97355

Officer/Director/Trustee Four

BEVERLY ANDERSON
DIRECTOR
170 MAGNOLIA DR
CRESWELL OR 97426

Officer/Director/Trustee Five

PATTY ISERI
DIRECTOR
17 SW 6TH ST
ONTARIO OR 97914

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y01 - Alliance/Advocacy Organizations
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 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 BEVERLY ANDERSON
Signature Title DIRECTOR
Signature Date 7/9/18

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