FORM 1023-EZ for NORTHWEST YOUTH FITNESS FOUNDATION

Field Data
EIN 84-3957942
Case Number EO-2020044-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST YOUTH FITNESS FOUNDATION
Organization’s Mailing Address 5815 SW CORBETT AVE
City PORTLAND
State OR
ZIP 97239
Accounting period End 12
Primary contact name NICKOLAS PAPPAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICKOLAS PAPPAS
EXECUTIVE DIRECTOR
5815 SW CORBETT
PORTLAND OR 97239

Officer/Director/Trustee Two

HOLLY RODRIGUEZ
PRESIDENT
1174 SE 80TH AVE
PORTALND OR 97215

Officer/Director/Trustee Three

MEAGHAN MCDONALD
SECRETARY
1918 N PRESCOTT ST
PORTALND OR 97217

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 NICKOLAS PAPPAS
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/11/2020

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