FORM 1023-EZ for PORTLAND HARBOR COMMUNITY ADVISORYGROUP

Field Data
EIN 45-1686715
Case Number EO-2018309-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORTLAND HARBOR COMMUNITY ADVISORYGROUP
Organization’s Mailing Address 8316 N LOMBARD ST BOX 344
City PORTLAND
State OR
ZIP 97203
Accounting period End 12
Primary contact name DOUGLAS LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKIE CALDER
CHAIRPERSON
6825 N MCKENNA AVENUE
PORTLAND OR 97203

Officer/Director/Trustee Two

DOUGLAS LARSON
TREASURER
9907 N EDISON ST
PORTLAND OR 97203

Officer/Director/Trustee Three

MICHAEL POUNCIL
SECRETARY
7008 N FISKE AVE
PORTLAND OR 97203

Organization’s website WWW.PORTLANDHARBORCAG.INFO
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/11
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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 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 DOUGLAS LARSON
Signature Title TREASURER
Signature Date 11/1/18
EIN 45-1686715
Case Number EO-2018309-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORTLAND HARBOR COMMUNITY ADVISORY GROUP
Organization’s Mailing Address 8316 N LOMBARD ST BOX 344
City PORTLAND
State OR
ZIP 97203
Accounting period End 12
Primary contact name DOUGLAS LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKIE CALDER
CHAIRPERSON
6825 N MCKENNA AVENUE
PORTLAND OR 97203

Officer/Director/Trustee Two

DOUGLAS LARSON
TREASURER
9907 N EDISON ST
PORTLAND OR 97203

Officer/Director/Trustee Three

MICHAEL POUNCIL
SECRETARY
7008 N FISKE AVE
PORTLAND OR 97203

Organization’s website WWW.PORTLANDHARBORCAG.INFO
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/11
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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 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 DOUGLAS LARSON
Signature Title TREASURER
Signature Date 11/1/18

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