FORM 1023-EZ for JIM PEPPER NATIVE ARTS FESTIVAL

Field Data
EIN 46-5410928
Case Number EO-2017222-000541
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JIM PEPPER NATIVE ARTS FESTIVAL
Organization’s Mailing Address 10809 NE FREMONT ST
City PORTLAND
State OR
ZIP 97220
Accounting period End 12
Primary contact name SEAN AARON CRUZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN CRUZ
EXECUTIVE DIRECTOR
10809 NE FREMONT
PORTLAND OR 97220

Officer/Director/Trustee Two

MICHAEL CONWAY
TREASURER/DIRECTOR
8640 SE 33RD AVE
PORTLAND OR 97222

Officer/Director/Trustee Three

REBEKAH WANKE
DIRECTOR
12865 NE 129TH PLACE
PORTLAND OR 97230

Officer/Director/Trustee Four

ROBERT VAN PELT
DIRECTOR
11421 SE PARDEE
PORTLAND OR 97266

Officer/Director/Trustee Five

ALLEN BUCK
DIRECTOR
4026 NE CESAR E CHAVEZ BLVD
PORTLAND OR 97212

Organization’s website WWW.JIMPEPPERFEST.NET
Organization’s email MUSIC@JIMPEPPERFEST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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
Signature Title
Signature Date

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