FORM 1023-EZ for OASIS HOME RESIDENCE

Field Data
EIN 45-3699274
Case Number EO-2015126-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OASIS HOME RESIDENCE
Organization’s Mailing Address 814 NORTH L STREET 1
City TACOMA
State WA
ZIP 98403
Accounting period End 12
Primary contact name EVELYN W UNDZIAKIEWICZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DMARCO DUANE
BOARD CHAIR
1723 E 62ND STREET
TACOMA WA 98404-4312

Officer/Director/Trustee Two

YOLANDA JENNINGS-PRATT
SECRETARY-TREASURER
213 SOUTH 53RD ST
TACOMA WA 98408-6507

Officer/Director/Trustee Three

KENYA UNDZIAKIEWICZ
VICE CHAIR
5902 SOUTH VERDE ST
TACOMA WA 98409-1741

Organization’s website OASISHOMERESIDENCE.ORG
Organization’s email OASISHOMERESIDENCE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2011
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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