FORM 1023-EZ for OREGON COUNCIL OF CHILD & ADOLESCENT PSYCHIATRY

Field Data
EIN 93-1311119
Case Number EO-2018328-000001
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OREGON COUNCIL OF CHILD & ADOLESCENT PSYCHIATRY
Organization’s Mailing Address PO BOX 19233
City PORTLAND
State OR
ZIP 97280
Accounting period End 6
Primary contact name ELIZABETH MESBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIGAN USHER
PRESIDENT
PO BOX 19233
PORTLAND OR 97280

Officer/Director/Trustee Two

EILEEN MCCARTY
PRESIDENT ELECT
PO BOX 19233
PORTLAND OR 97280

Officer/Director/Trustee Three

KENNETH ENSROTH
SECRETARY/TREASURER
PO BOX 19233
PORTLAND OR 97280

Officer/Director/Trustee Four

KIRK WOLFE
AACAP DELEGATE
PO BOX 19233
PORTLAND OR 97280

Officer/Director/Trustee Five

ELIZABETH MESBERG
EXECUTIVE DIRECTOR
7008 SW 8TH AVE
PORTLAND OR 97219

Organization’s website WWW.OCCAP.ORG
Organization’s email LIZ@OCCAP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/02
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F03 - Professional Societies, Associations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELIZABETH MESBERG
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/21/18

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