| Field | Data |
|---|---|
| EIN | 87-1271125 |
| Case Number | EO-2021215-000087 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PROJECT BLUE LIFELINE |
| Organization’s Mailing Address | 4940 NW 180TH TERRACE |
| City | PORTLAND |
| State | OR |
| ZIP | 97229 |
| Accounting period End | 12 |
| Primary contact name | JAMES UGLESICH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JAMES UGLESICH
PRESIDENT CEO
4940 NW 180TH TERRACE
PORTLAND OR 97229
STEVE CRAWFORD
DIRECTOR SECRETARY
6105 CANTER LANE
WEST LINN OR 97068
JOHN BENNETT
DIRECTOR TREASURER
PO BOX 702
CORNELIUS OR 97113
| Organization’s website | WWW.PROJECTBLUELIFELINE.ORG |
|---|---|
| Organization’s email | JAMES@PROJECTBLUELIFELINE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/17/2021 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | JAMES UGLESICH |
| Signature Title | PRESIDENT CEO |
| Signature Date | 8/1/2021 |
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