FORM 1023-EZ for 1ST PHOENIX COMMUNITY CENTER

Field Data
EIN 81-1392959
Case Number EO-2016285-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 1ST PHOENIX COMMUNITY CENTER
Organization’s Mailing Address PO BOX 390
City PHOENIX
State OR
ZIP 97535
Accounting period End 12
Primary contact name CAROLYNA MARSHALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYNA MARSHALL
BOARD CHAIRPERSON
142 W BOLZ RD
PHOENIX OR 97535

Officer/Director/Trustee Two

JAN DEBRITTO
BOARD VICE-CHAIRPERSON
158 MEADOW VIEW DRIVE
PHOENIX OR 97535

Officer/Director/Trustee Three

PAULA YORK
TREASURER
PO BOX 1421
PHOENIX OR 97535

Officer/Director/Trustee Four

MICHAEL FOSTER
SECRETARY
994 S STAGE RD
MEDFORD OR 97501

Officer/Director/Trustee Five

GLENDA CRENSHAW
DIRECTOR
281 CHRISTOPHER WAY
TALENT OR 97540

Organization’s website
Organization’s email 1STPHOENIXCC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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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