FORM 1023-EZ for HABITAT AND HOPE VILLAGE
| Field | Data |
|---|---|
| EIN | 83-3121482 |
| Case Number | EO-2019322-000328 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HABITAT AND HOPE VILLAGE |
| Organization’s Mailing Address | 5090 CENTER ST NE |
| City | SALEM |
| State | OR |
| ZIP | 97317-3215 |
| Accounting period End | 12 |
| Primary contact name | GEORGE STRUBLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PAUL WILSON
PRESIDENT
P O BOX 1173
JEFFERSON RI 97352-1173
Officer/Director/Trustee Two
LARRY NASSET
TREASURER
525 OREGON AVE NE
SALEM OR 97301-1001
Officer/Director/Trustee Three
PATTY DAVENPORT
SECRETARY
1140 PAWNEE CIRCLE SE
SALEM OR 97306
Officer/Director/Trustee Four
JOHN DAVENPORT
VICE PRESIDENT
1140 PAWNEE CIRCLE
SALEM OR 97306
Officer/Director/Trustee Five
GEORGE STRUBLE
BOARD MEMBER
210 18TH ST NE
SALEM OR 97301-4316
| Organization’s website | HABITATANDHOPEVILLAGE.ORG |
|---|---|
| Organization’s email | HABITATANDHOPEVILLAGE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/11/19 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L41 - Homeless, Temporary Shelter For |
| 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 | 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 | GEORGE STRUBLE |
| Signature Title | BOARD MEMBER |
| Signature Date | 11/14/19 |
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