FORM 1023-EZ for PDX MOPAR MUSCLE

Field Data
EIN 47-5677812
Case Number EO-2015358-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PDX MOPAR MUSCLE
Organization’s Mailing Address 15905 NW EMILY LN
City BEAVERTON
State OR
ZIP 97006
Accounting period End 12
Primary contact name BRYAN HAWKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS RAYMOND
PRESIDENT
33345 SW SEQUOIA ST
SCAPPOSE OR 97056

Officer/Director/Trustee Two

BRYAN HAWKINS
VICE PRESIDENT
15905 NW EMILY LN
BEAVERTON OR 97006

Officer/Director/Trustee Three

SUSAN RAYMOND
SECRETARY/TREASURER
33345 SW SEQUOIA ST
SCAPPOSE OR 97056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N03 - Professional Societies, Associations
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 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
Signature Title
Signature Date

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