| Field | Data |
|---|---|
| EIN | 83-1191309 |
| Case Number | EO-2018194-000262 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | RETREAT ADULT DAY SERVICES CENTER |
| Organization’s Mailing Address | 1170 FERGUSON AVENUE |
| City | COOS BAY |
| State | OR |
| ZIP | 97420 |
| Accounting period End | 12 |
| Primary contact name | LEAH HUGHES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LEAH HUGHES
DIRECTOR
1170 FERGUSON AVENUE
COOS BAY OR 97420
JANE BLAKE
DIRECTOR
2516 LIBERTY
NORTH BEND OR 97459
KELLEEN CONRAD
DIRECTOR
788 MARYLAND AVENUE
NORTH BEND OR 97459
SARA FERRELL
DIRECTOR
98257 WOODRUFF LANE
COOS BAY OR 97420
SALLY HAMPTON
DIRECTOR
PO BOX 275
COOS BAY OR 97420
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/11/18 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P71 - Adult Daycare |
| 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 | 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 | LEAH HUGHES |
| Signature Title | DIRECTOR |
| Signature Date | 7/11/18 |
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