FORM 1023-EZ for HENRYS UNCLE

Field Data
EIN 83-3263431
Case Number EO-2019221-000050
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENRYS UNCLE
Organization’s Mailing Address 700 SW 5TH AVE STE 4000 3RD FLOOR
City PORTLAND
State OR
ZIP 97204-2000
Accounting period End 2
Primary contact name ROSALIE WESTENSKOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIK KILGORE
PRESIDENT
700 SW 5TH AVE STE 4000 3RD FLOOR
PORLTAND OR 97204-2000

Officer/Director/Trustee Two

GREG PETROSSIAN
TREASURER
700 SW 5TH AVE STE 4000 3RD FLOOR
PORTLAND OR 97204-2000

Officer/Director/Trustee Three

ROBERT PERCIN
SECRETARY
700 SW 5TH AVE STE 4000 3RD FLOOR
PORTLAND OR 97204-2000

Organization’s website WWW.HENRYSUNCLE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 Yes
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 ERIK KILGORE
Signature Title PRESIDENT
Signature Date 8/7/19

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