FORM 1023-EZ for NORTHWEST PANDAS-PANS NETWORK
| Field | Data |
|---|---|
| EIN | 85-4128358 |
| Case Number | EO-2021232-000233 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTHWEST PANDAS-PANS NETWORK |
| Organization’s Mailing Address | PO BOX 19511 |
| City | PORTLAND |
| State | OR |
| ZIP | 97280 |
| Accounting period End | 12 |
| Primary contact name | BRIAN DASSO - ATTORNEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SARAH LEMLEY
PRESIDENT- DIRECTOR
PO BOX 19511
PORTLAND OR 97280
Officer/Director/Trustee Two
KYM MCCORNACK
SECRETARY - DIRECTOR
5755 SW HEWETT
PORTLAND OR 97221
Officer/Director/Trustee Three
ROB MILLIS
DIRECTOR
2620 SW TICHNER DRIVE
PORTLAND OR 97205
Officer/Director/Trustee Four
CARLY ASHBER
DIRECTOR
4414 N 10TH STREET
TACOMA WA 98406
| Organization’s website | WWW.NWPPN.ORG |
|---|---|
| Organization’s email | NWESTPNN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/17/2021 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E86 - Patient Services - Entertainment, Recreation |
| 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 | Yes |
| 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 | SARAH LEMLEY |
| Signature Title | PRESIDENT- DIRECTOR |
| Signature Date | 8/18/2021 |
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