FORM 1023-EZ for OREGON VETERANS MEDICAL SERVICES

Field Data
EIN 82-0892798
Case Number EO-2017086-000544
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OREGON VETERANS MEDICAL SERVICES
Organization’s Mailing Address 5200 SW MEADOW RD STE 150
City LAKE OSWEGO
State OR
ZIP 97035
Accounting period End 12
Primary contact name DARRIN HEARNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRIN HEARNS
PRESIDENT, DIRECTOR
1774 TADAI WOG RD
TUCSON AZ 85746

Officer/Director/Trustee Two

MICHAEL CROSBY
SECRETARY, DIRECTOR
6331 S CARDINAL AVE
TUCSON AZ 85745

Officer/Director/Trustee Three

BILLY HEARD
TREASURER, DIRECTOR
6015 E WARDLOW
LONG BEACH CA 90808

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
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 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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