FORM 1023-EZ for COLUMBIA GORGE VIPASSANA TRUST

Field Data
EIN 83-3339746
Case Number EO-2021018-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLUMBIA GORGE VIPASSANA TRUST
Organization’s Mailing Address 1027 COLUMBIA ST
City HOOD RIVER
State OR
ZIP 97031
Accounting period End 12
Primary contact name WINSTON CAMERO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WINSTON CAMERO
OFFICER
1027 COLUMBIA ST
HOOD RIVER OR 97031

Officer/Director/Trustee Two

TERESA SCHURHECK
OFFICER
PO BOX 94
HOOD RIVER OR 97031

Officer/Director/Trustee Three

LAURA MILLS
OFFICER
5430 HIGHWAY 35
PARKDALE OR 97041

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and 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 Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WINSTON CAMERO
Signature Title OFFICER
Signature Date 11/19/2020

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