FORM 1023-EZ for NORTHWEST QUALITY CARE INC

Field Data
EIN 84-3506901
Case Number EO-2019318-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST QUALITY CARE INC
Organization’s Mailing Address PO BOX 90503
City PORTLAND
State OR
ZIP 97266
Accounting period End 12
Primary contact name KATRINA DOUGHTY 707-536-5906
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATRINA DOUGHTY
PRESIDENT AND SECRETARY
3850 SE 82ND AVE PO BOX 90503
PORTLAND OR 97266

Officer/Director/Trustee Two

CHERIE MARTIN
TREASURER
3850 SE 82ND AVE PO BOX 90503
PORTLAND OR 97266

Officer/Director/Trustee Three

JAMES BOYD
DIRECTOR
3850 SE 82ND AVE PO BOX 90503
PORTLAND OR 97266

Officer/Director/Trustee Four

SAHAR MURANOVIC
DIRECTOR
3850 SE 82ND AVE PO BOX 90503
PORTLAND OR 97266

Officer/Director/Trustee Five

EMILY JOHNSON
DIRECTOR
3850 SE 82ND AVE PO BOX 90503
PORTLAND OR 97266

Organization’s website
Organization’s email NORTHWESTQUALITYCARE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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 Yes
Correctness Declaration Yes
Signature Name KATRINA DOUGHTY
Signature Title PRESIDENT AND SECRETARY
Signature Date 11/12/19

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