FORM 1023-EZ for HOMELESS YOUTH LAW CLINIC OR YOUTHLAW CLINIC HYLC

Field Data
EIN 47-2800072
Case Number EO-2015170-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMELESS YOUTH LAW CLINIC OR YOUTHLAW CLINIC HYLC
Organization’s Mailing Address 117 NW TRINITY PL 35
City PORTLAND
State OR
ZIP 97209-1926
Accounting period End 12
Primary contact name JOHN A SALOIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN SALOIS
PRESIDENT, SECRETARY
117 NW TRINITY PL APT 35
PORTLAND OR 97209-1926

Officer/Director/Trustee Two

NICOLE MANDARANO
TREASURER
117 NW TRINITY PL APT 35
PORTLAND OR 97209-1926

Officer/Director/Trustee Three

TYRONE TYNER
SPECIAL YOUTH ADVISOR
314 SW 9TH AVE
PORTLAND OR 97205

Organization’s website HTTPS://WWW.FACEBOOK.COM/HYLCPDX
Organization’s email NICOLE.MANDARANO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I80 - Legal Services
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 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
Signature Title
Signature Date

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