FORM 1023-EZ for OREGON INFANT MENTAL HEALTH ASSOCIATION

Field Data
EIN 30-0865288
Case Number EO-2015103-000051
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OREGON INFANT MENTAL HEALTH ASSOCIATION
Organization’s Mailing Address P O BOX 33633
City PORTLAND
State OR
ZIP 97292-3633
Accounting period End 12
Primary contact name REDMOND REAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REDMOND REAMS
PRESIDENT
2106 NE 40TH AVENUE
PORTLAND OR 97212

Officer/Director/Trustee Two

MARY FOLTZ
VICE-PRESIDENT
P O BOX 33633
PORTLAND OR 97292-3633

Officer/Director/Trustee Three

PAMELA SKIVER
SECRETARY
P O BOX 33633
PORTLAND OR 97292-3633

Officer/Director/Trustee Four

DIANNE LEROY
TREASURER
P O BOX 33633
PORTLAND OR 97292-3633

Organization’s website WWW.ORIMHA.ORG
Organization’s email WEBMANAGER@ORIMHA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
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 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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