| Field | Data |
|---|---|
| EIN | 84-5078832 |
| Case Number | EO-2020073-000304 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OHSU ADULT CYSTIC FIBROSIS ADVISORYCOUNCIL |
| Organization’s Mailing Address | 3181 SAM JACKSON DR UHN67 |
| City | PORTLAND |
| State | OR |
| ZIP | 97239 |
| Accounting period End | 6 |
| Primary contact name | KATHY SHANNON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KATHY SHANNON
COUNCIL MEMBER
2500 HASTINGS ST
EUGENE OR 97404
MAGGIE LEWIS
COUNCIL MEMBER
2935 NE 68TH AVE
PORTLAND OR 97213
LYNN BYERLY
COUNCIL MEMBER
14409 CAMBRIA TERRACE
OREGON CITY OR 97045
JEN MYERS
COUNCIL MEMBER
1384 NE ROCKY DR
ROSEBURG OR 97470
CARLY CHRISTIANSEN
COUNCIL MEMBER
575 MITCHELL WY
CENTRAL POINT OR 97502
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/1/2019 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| Organization’s purpose | Charitable: Yes Religious: No 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 | 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 | KATHY SHANNON |
| Signature Title | COUNCIL MEMBER |
| Signature Date | 3/11/2020 |
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