FORM 1023-EZ for POMEROY HOUSE FOUNDATION

Field Data
EIN 84-3868696
Case Number EO-2020164-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POMEROY HOUSE FOUNDATION
Organization’s Mailing Address 100 SW 195TH AVENUE UNIT 97
City BEAVERTON
State OR
ZIP 97006
Accounting period End 9
Primary contact name DANIEL F FINK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAE ELIZABETH POMEROY
PRESIDENT/DIRECTOR
2015 NE TRISHA DRIVE
HILLSBORO OR 97124

Officer/Director/Trustee Two

MITCHELL METCALF
VICE PRESIDENT/DIRECTOR
4090 SW 177TH AVENUE UNIT 77
BEAVERTON OR 97028

Officer/Director/Trustee Three

DANIEL FINK
SECRETARY/TREASURER/DIRECTOR
100 SW 195TH AVENUE UNIT 97
BEAVERTON OR 97006

Organization’s website NONE
Organization’s email USAFA64@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Correctness Declaration Yes
Signature Name DANIEL FINK
Signature Title SECRETARY/TREASURER/DIRECTOR
Signature Date 6/10/2020

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