FORM 1023-EZ for DANA THOMPSON MEMORIAL FUND OF AWESOME

Field Data
EIN 84-3553645
Case Number EO-2019318-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DANA THOMPSON MEMORIAL FUND OF AWESOME
Organization’s Mailing Address 3580 SE 82ND AVE 90881
City PORTLAND
State OR
ZIP 97290
Accounting period End 12
Primary contact name CHRISTINE CLARINGBOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE CLARINGBOLD
PRESIDENT
8109 SE RAMONA ST
PORTLAND OR 97206-5154

Officer/Director/Trustee Two

ANGELEE VAN ALLMAN
VICE PRESIDENT / SECRETARY
316 SE 103RD AVE
VANCOUVER WA 98664-4049

Officer/Director/Trustee Three

SUZIE SCHIEDEL
TREASURER
2745 NW PETTYGROVE 3
PORTLAND OR 97210-2482

Organization’s website
Organization’s email DANATHOMPSONMEMORIALFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 CHRISTINE CLARINGBOLD
Signature Title PRESIDENT
Signature Date 11/12/19

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