FORM 1023-EZ for PORTLAND REFUGEE SUPPORT GROUP

Field Data
EIN 82-1924164
Case Number EO-2017194-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PORTLAND REFUGEE SUPPORT GROUP
Organization’s Mailing Address 14464 SW MISTELTOE DRIVE
City TIGARD
State OR
ZIP 97223
Accounting period End 12
Primary contact name NURA ELMAGBARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NURA ELMAGBARI
BOARD MEMBER
14464 SW MISTLETOE DRIVE
TIGARD OR 97223

Officer/Director/Trustee Two

JENNIFER SHAREEF
BOARD MEMBER
8977 SW 149TH PLACE
BEAVERTON OR 97007

Officer/Director/Trustee Three

JEAN NAKAHARA
BOARD MEMBER
5264 NE SCHOELER CIRCLE
HILLSBORO OR 97124

Officer/Director/Trustee Four

NORA MAHMOUD
BOARD MEMBER
9730 SW 168TH PLAVE
BEAVERTON OR 97007

Organization’s website WWW.PDXRSG.ORG
Organization’s email PDXRSG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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