FORM 1023-EZ for HRV PROJECT GRADUATION

Field Data
EIN 82-4123536
Case Number EO-2018059-000355
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HRV PROJECT GRADUATION
Organization’s Mailing Address 1767 TWELTH STREET BOX 178
City HOOD RIVER
State OR
ZIP 97031
Accounting period End 12
Primary contact name JAY SHERRERD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERIE ZACK
DIRECTOR, SECRETARY
1506 TAYLOR AVE
HOOD RIVER OR 97031

Officer/Director/Trustee Two

LORI DUFFY
DIRECTOR, PRESIDENT
PO BOX 982
HOOD RIVER OR 97031

Officer/Director/Trustee Three

LISA ROTHMAN
DIRECTOR, TREASURER
1706 22ND ST
HOOD RIVER OR 97031

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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 SHERIE ZACK
Signature Title DIRECTOR, SECRETARY
Signature Date 2/26/18

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