FORM 1023-EZ for CONSCIOUS CAPITALISM PORTLAND

Field Data
EIN 83-1239101
Case Number EO-2018199-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONSCIOUS CAPITALISM PORTLAND
Organization’s Mailing Address 3730 SE SALMON STREET
City PORTLAND
State OR
ZIP 97214
Accounting period End 12
Primary contact name AMY POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY POWELL
CHAIR
3730 SE SALMON STREET
PORTLAND OR 97214-4338

Officer/Director/Trustee Two

KYMM NELSEN
SECRETARY
3004 NE 130TH AV
VANCOUVER WA 98682

Officer/Director/Trustee Three

JODY FOSTER
TREASURER
4334 NE 26TH AV
PORTLAND OR 97211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 AMY POWELL
Signature Title CHAIR
Signature Date 7/16/18

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