FORM 1023-EZ for PDX HACKERSPACE

Field Data
EIN 83-1684562
Case Number EO-2018239-000788
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PDX HACKERSPACE
Organization’s Mailing Address 7600 N INTERSTATE AVE STE 857
City PORTLAND
State OR
ZIP 97217-5532
Accounting period End 12
Primary contact name JONATHAN HANNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH FITZPATRICK
PRESIDENT
7600 N INTERSTATE AVE STE 8086
PORTLAND OR 97217-5532

Officer/Director/Trustee Two

KENNY MCELROY
SECRETARY
PO BOX 28091
PORTLAND OR 97228

Officer/Director/Trustee Three

JONATHAN HANNIS
TREASURER
7600 N INTERSTATE AVE STE 857
PORTLAND OR 97217-5532

Organization’s website PDXHS.ORG
Organization’s email 1023EZ@PDXHS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JONATHAN HANNIS
Signature Title TREASURER
Signature Date 8/24/18

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