FORM 1023-EZ for SACRED CEDAR SACRAMENTAL LIFE MINISTRY

Field Data
EIN 85-1185000
Case Number EO-2020212-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SACRED CEDAR SACRAMENTAL LIFE MINISTRY
Organization’s Mailing Address 27646 GIBRALTER LOOP
City EUGENE OR
State OR
ZIP 97405
Accounting period End 12
Primary contact name DAVID DEVORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID DEVORE
PRESIDENT
27646 GIBRALTER LOOP
EUGENE OR OR 97405

Officer/Director/Trustee Two

KATHRYN ROBERTSON
SECRETARY
24915 MCCUTCHEON STREET
VENETA OR 97487

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 DAVID DEVORE
Signature Title PRESIDENT
Signature Date 5/28/2020

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