FORM 1023-EZ for BELONG VISION WORLD

Field Data
EIN 82-3065109
Case Number EO-2017318-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELONG VISION WORLD
Organization’s Mailing Address 6426 SE 129TH PL
City PORTLAND
State OR
ZIP 97236
Accounting period End 10
Primary contact name TIM YASUMATSU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY YASUMATSU
DIRECTOR
6426 SE 129TH PLACE
PORTLAND OR 97236

Organization’s website BELONG.VISION
Organization’s email TIM@BELONG.VISION
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
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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