FORM 1023-EZ for OREGON YOUTH CENTER INC

Field Data
EIN 47-1988801
Case Number EO-2014288-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OREGON YOUTH CENTER INC
Organization’s Mailing Address PO BOX 124
City OREGON
State WI
ZIP 53575
Accounting period End 12
Primary contact name DIANE B D NEWLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTY HALVERSON
PRESIDENT
135 CEDAR DR
OREGON WI 53575

Officer/Director/Trustee Two

ERIN PETERSON
VICE PRESIDENT
145 PRAIRIE GRASS RD
OREGON WI 53575

Officer/Director/Trustee Three

ERICA GONZALEZ
SECRETARY
379 STERLING DR
OREGON WI 53575

Officer/Director/Trustee Four

PATTY BROWN
TREASURER
224 S MAIN ST
OREGON WI 53575

Officer/Director/Trustee Five

KELLY ALLEN
BOARD MEMBER
452 N MAIN ST
OREGON WI 53575

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
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 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 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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