FORM 1023-EZ for BLACK ROCK OBSERVATORY
| Field | Data |
|---|---|
| EIN | 84-2039191 |
| Case Number | EO-2019169-000173 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK ROCK OBSERVATORY |
| Organization’s Mailing Address | 16176 SW CAMPBELL RD |
| City | HILLSBORO |
| State | OR |
| ZIP | 97123-9022 |
| Accounting period End | 12 |
| Primary contact name | DAVID NEWHOUSE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVID NEWHOUSE
CHAIR
16176 SW CAMPBELL RD
HILLSBORO OR 97123-9022
Officer/Director/Trustee Two
CASSANDRA HESSELTINE
SECRETARY
420 TANGLEWOOD RD
ARCATA CA 95521-4994
Officer/Director/Trustee Three
DAVID REITZEL
DIRECTOR
2417 GRIFFITH PARK BLVD
LOS ANGELES CA 90039-2515
Officer/Director/Trustee Four
ROBIN NEWHOUSE
DIRECTOR
16176 SW CAMPBELL RD
HILLSBORO OR 97123-9022
Officer/Director/Trustee Five
AMANDA SANDEEN
DIRECTOR
14027 95TH AVE NE
KIRKLAND WA 98034-5153
| Organization’s website | BLACKROCKOBSERVATORY.COM |
|---|---|
| Organization’s email | BOD@BLACKROCKOBSERVATORY.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/6/19 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | U31 - Astronomy |
| Organization’s purpose | Charitable: No 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 | 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 | DAVID NEWHOUSE |
| Signature Title | CHAIR |
| Signature Date | 6/13/19 |
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