FORM 1023-EZ for ROGUE PACK

Field Data
EIN 47-2597862
Case Number EO-2015302-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROGUE PACK
Organization’s Mailing Address 901 SE SPOKANE ST
City PORTLAND
State OR
ZIP 97202
Accounting period End 12
Primary contact name ANN SINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL MILES
BOARD CHAIR
8028 SE 9TH AVE
PORTLAND OR 97202

Officer/Director/Trustee Two

CHRIS ALLEN
TREASURER
6960 SE BIXEL WAY
MILWAUKIE OR 97267

Officer/Director/Trustee Three

ANN SINGER
EXECUTIVE DIRECTOR
8028 SE 9TH AVE
PORTLAND OR 97202

Officer/Director/Trustee Four

ANGIE COLLINS
ARTISTIC DIRECTOR
2020 SE SILVER SPRINGS RD
PORTLAND OR 97222

Officer/Director/Trustee Five

ERIN LEVINE
BOARD MEMBER
9800 SW BEAVERTON HILLS HWY STE 200
BEAVERTON OR 97005

Organization’s website WWW.ROGUEPACK.ORG
Organization’s email ANN@ROGUEPACK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
Organization’s purpose Charitable: No
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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