FORM 1023-EZ for LOVE THY NEIGHBOR SERVICES

Field Data
EIN 47-3828504
Case Number EO-2015274-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOVE THY NEIGHBOR SERVICES
Organization’s Mailing Address P O BOX 314
City FOSTER
State OR
ZIP 97345
Accounting period End 12
Primary contact name KATHERINE WIENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE WIENS
PRESIDENT
5351 POPLAR ST 2
SWEET HOME OR 97386

Officer/Director/Trustee Two

AMANDA FOSS
VICE PRESIDENT
128 W HOLLEY
SWEET HOME OR 97386

Officer/Director/Trustee Three

ANGELA BAILEY HARRY
SECRETARY
4623 CLAY PL SE
ALBANY OR 97322

Officer/Director/Trustee Four

ALICE ANDERSON
BOARD MEMBER
PO BOX 314
FOSTER OR 97386

Officer/Director/Trustee Five

JEANETTE CAMPBELL
BOARD MEMBER
5440 CHICAGO ST SE
TURNER OR 97392

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 Yes
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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