FORM 1023-EZ for COMMUNITY JAMS INC

Field Data
EIN 84-2181181
Case Number EO-2019365-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY JAMS INC
Organization’s Mailing Address 8701 SW 52ND AVE
City PORTLAND
State OR
ZIP 97219-3320
Accounting period End 5
Primary contact name SHARI CHEVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT WOLFF
EXECUTIVE DIRECTOR
7328 B SE 69TH AVE
PORTLAND OR 97206-8073

Officer/Director/Trustee Two

SHARI CHEVES
BUSINESS AGENT AND DIRECTOR
8701 SW 52ND AVE
PORTLAND OR 97219-3320

Officer/Director/Trustee Three

ERIC STERNBACH
TREASURER AND DIRECTOR
2922 WASHINGTON ST
EUGENE OR 97405-2735

Officer/Director/Trustee Four

KATHLEEN STOKES
SECRETARY AND DIRECTOR
7328 SE 69TH AVE
PORTLAND OR 97206-8073

Officer/Director/Trustee Five

DOUG MARSHALL
DIRECTOR
5700 NW TOKETEE DR
PORTLAND OR 97229-1030

Organization’s website WWW.COMMUNITYJAMS.ORG
Organization’s email PLAY@COMMUNITYJAMS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 SHARI CHEVES
Signature Title BUSINESS AGENT AND DIRECTOR
Signature Date 12/27/2019

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