FORM 1023-EZ for CASCADES PRESBYTERIAN FAMILY CAMP

Field Data
EIN 47-4769155
Case Number EO-2015229-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASCADES PRESBYTERIAN FAMILY CAMP
Organization’s Mailing Address 8670 NW BRIARWOOD DRIVE
City PORTLAND
State OR
ZIP 97231
Accounting period End 9
Primary contact name NATHAN HAMPTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK MALETA
DIRECTOR, PRESIDENT
17375 SW BRANDYSHIRE COURT
DURHAM OR 97224

Officer/Director/Trustee Two

SAMUEL FISHER
DIRECTOR, TREASURER
2475 SE LAUREL STREET
OAK GROVE OR 97267

Officer/Director/Trustee Three

JAMES WHITNEY
DIRECTOR, VICE-PRESIDENT
2572 BROCKWAY ROAD
WINSTON OR 97496

Officer/Director/Trustee Four

NATHAN HAMPTON
DIRECTOR, SECRETARY
16360 SE VINEYARD LANE APT 5
OAK GROVE OR 97267

Officer/Director/Trustee Five

T ANDREW CRUMP
DIRECTOR, WAGON MASTER
8670 NW BRIARWOOD DRIVE
PORTLAND OR 97231

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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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