FORM 1023-EZ for CONSCIOUS GROWTH

Field Data
EIN 84-1942667
Case Number EO-2020024-000412
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONSCIOUS GROWTH
Organization’s Mailing Address 5734 NE 27TH AVE APT 4
City PORTLAND
State OR
ZIP 97211
Accounting period End 12
Primary contact name ASHLEY BONN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY BONN
PRESIDENT
5734 NE 27TH AVE APT 4
PORTLAND OR 97211

Officer/Director/Trustee Two

DRAKE CARNAHAN
VICE PRESIDENT
5508 NE DETROIT AVE
PORTLAND OR 97217

Officer/Director/Trustee Three

RUSSELL BOHR
SECRETARY
2735 SE 30TH
PORTLAND OR 97202

Officer/Director/Trustee Four

BENJAMIN RUCH
TREASURER
5508 NE DETROIT AVE
PORTLAND OR 97217

Organization’s website WWW.CONSCIOUS-GROWTH.ORG
Organization’s email INFO@CONSCIOUS-GROWTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A27 - Community Celebrations
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 ASHLEY BONN
Signature Title PRESIDENT
Signature Date 1/22/2020

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