FORM 1023-EZ for BLACK COMMUNITY OF PORTLAND

Field Data
EIN 83-1369967
Case Number EO-2019073-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK COMMUNITY OF PORTLAND
Organization’s Mailing Address P O BOX 12152
City PORTLAND
State OR
ZIP 97212
Accounting period End 12
Primary contact name SHEILA RANDALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA RANDALL
PRESIDENT
PO BOX 12152
PORTLAND OR 97212

Officer/Director/Trustee Two

BRIAN ODOM SR
VICE PRESIDENT
15811 E BURNSIDE ST APT 63
PORTLAND OR 97233

Officer/Director/Trustee Three

MICHELLE BENTON
SECRETARY
15811 E BURNSIDE ST APT 63
PORTLAND OR 97233

Officer/Director/Trustee Four

LARONE POLK II
TREASURER
P O BOX 6961
PORTLAND OR 97228

Officer/Director/Trustee Five

STEPHANIE LYNCH
DIRECTOR
1212 NE LINDEN AVE UNIT C24
GRESHAM OR 97030

Organization’s website
Organization’s email BLACKCOMMUNITYOFPORTLAND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
Donation of funds Yes
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 Yes
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 SHEILA RANDALL
Signature Title PRESIDENT
Signature Date 3/11/19

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