FORM 1023-EZ for CASCADIA ACTION

Field Data
EIN 47-5230235
Case Number EO-2015280-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASCADIA ACTION
Organization’s Mailing Address PO BOX 12401
City PORTLAND
State OR
ZIP 97212
Accounting period End 12
Primary contact name GREG BOURGET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREGORY BOURGET
OFFICER
5042 SW CORBETT AVE APT 12
PORTLAND OR 97239

Officer/Director/Trustee Two

DONALD BERG
OFFICER
2420 NE SANDY BLVD SUITE 24
PORTLAND OR 97232

Officer/Director/Trustee Three

SETH WOOLLEY
OFFICER
3403 NE STANTON
PORTLAND OR 97212

Organization’s website CASCADIAACTION.ORG
Organization’s email GREGBOURGET@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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