FORM 1023-EZ for LITTLE LARK PRESCHOOL INCORPORATED

Field Data
EIN 82-1388318
Case Number EO-2017128-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITTLE LARK PRESCHOOL INCORPORATED
Organization’s Mailing Address 1302 SE ANKENY ST
City PORTLAND
State OR
ZIP 97214
Accounting period End 6
Primary contact name RACHEL DEHAAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL DEHAAN
LEADERSHIP COMMITTEE
5303 NE 31ST AVE
PORTLAND OR 97211

Officer/Director/Trustee Two

KATY PAUL
LEADERSHIP COMMITTEE
1712 BUCK ST
WEST LINN OR 97068

Organization’s website
Organization’s email LITTLELARKPDX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B21 - Kindergarten, Preschool, Nursery School, Early Admissions
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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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