FORM 1023-EZ for QUILTS FOR EMPOWERMENT

Field Data
EIN 82-2533823
Case Number EO-2017242-000499
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUILTS FOR EMPOWERMENT
Organization’s Mailing Address 31430 NE CANTER LANE
City SHERWOOD
State OR
ZIP 97140
Accounting period End 12
Primary contact name LAYLA K MCLEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY ANN MCCAMMON
PRESIDENT, OFFICER, DIRECTOR,
31430 NE CANTER LANE
SHERWOOD OR 97140

Officer/Director/Trustee Two

SHARON BRABENAC
SECRETARY, OFFICER, DIRECTOR
1400 SE LAVA DRIVE NO 24
MILWAUKIE OR 97222

Officer/Director/Trustee Three

STEPHEN FRANCIS MCCAMMON
TREASURER, OFFICER, DIRECTOR
31430 NE CANTER LANE
SHERWOOD OR 97140

Organization’s website N/A
Organization’s email MCURRY8643@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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