FORM 1023-EZ for FIFTH CORNER CENTER FOR INDIVIDUAL SPIRITUALITY

Field Data
EIN 82-3554929
Case Number EO-2017338-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIFTH CORNER CENTER FOR INDIVIDUAL SPIRITUALITY
Organization’s Mailing Address 207 E 5TH AVE SUITE 263
City EUGENE
State OR
ZIP 97401
Accounting period End 10
Primary contact name ROXANNE F WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROXANNE WILSON
CEO/DIRECTOR/MINISTER
207 E 5TH AVE SUITE 263
EUGENE OR 97401

Officer/Director/Trustee Two

JASON WILSON
COO/ASST DIRECTOR
207 E 5TH AVE SUITE 263
EUGENE OR 97401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2017
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: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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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