FORM 1023-EZ for LOVE BEYOND THE ORPHANAGE

Field Data
EIN 81-2445957
Case Number EO-2016123-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOVE BEYOND THE ORPHANAGE
Organization’s Mailing Address 3327 HAMPTON WAY
City EUGENE
State OR
ZIP 97401
Accounting period End 12
Primary contact name KIMBERLY HANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY HANSON
CO-FOUNDER
11902 N 173RD CIRCLE
BENNINGTON NE 68007

Officer/Director/Trustee Two

JULIE DUVALL
CO-FOUNDER
3327 HAMPTON WAY
EUGENE OR 97401

Officer/Director/Trustee Three

TAMARA KRASKE
BOARD OF DIRECTOR
4480 SW 91ST AVENUE
PORTLAND OR 97225

Officer/Director/Trustee Four

KATHRYN LINN
BOARD OF DIRECTOR
10870 NW CORNELL ROAD
PORTLAND OR 97229

Organization’s website
Organization’s email LOVEBEYONDTHEORPHANAGE@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
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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