FORM 1023-EZ for ACCOUNTABILITY COLLECTIVE

Field Data
EIN 85-3347408
Case Number EO-2021230-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACCOUNTABILITY COLLECTIVE
Organization’s Mailing Address 1410 SE 29TH AVE
City PORTLAND
State OR
ZIP 97214
Accounting period End 12
Primary contact name CAITLIN UPSHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMSON SYHARATH
PRESIDENT
1410 SE 29TH AVE
PORTLAND OR 97214

Officer/Director/Trustee Two

AMAYA SANTAMARIA
VICE PRESIDENT
2842 SE 67TH AVE
PORTLAND OR 97206

Officer/Director/Trustee Three

REBECCA LINGAFELTER
SECRETARY-TREASURER
5481 SW 34TH PL
PORTLAND OR 97239

Organization’s website ACCOUNTABILITYCOLLECTIVE.ORG
Organization’s email PDXTHEATRECOLLECTIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A02 - Management & Technical Assistance
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 SAMSON SYHARATH
Signature Title PRESIDENT
Signature Date 8/16/2021

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