FORM 1023-EZ for PACIFIC NORTHWEST PAGAN HISTORY PROJECT
| Field | Data |
|---|---|
| EIN | 83-3737806 |
| Case Number | EO-2019060-000374 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PACIFIC NORTHWEST PAGAN HISTORY PROJECT |
| Organization’s Mailing Address | 56965 PEBBLE CREEK RD |
| City | VERNONIA |
| State | OR |
| ZIP | 97064 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL AGEE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL AGEE
PRESIDENT
56965 PEBBLE CREEK RD
VERNONIA OR 97064-9627
Officer/Director/Trustee Two
REV DR FRODO OKULAM
SECRETARY
10019 NE FAILING ST
PORTLAND OR 97220-3639
Officer/Director/Trustee Three
SUSAN UJVARY
TREASURER
4103 NE ST JOHNS RD
VANCOUVER WA 98661-3325
| Organization’s website | |
|---|---|
| Organization’s email | THEMAENADLYSIOS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/26/19 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: No Religious: Yes Educational: No 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 | 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 | MICHAEL AGEE |
| Signature Title | PRESIDENT |
| Signature Date | 2/27/19 |
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