FORM 1023-EZ for MERCY SEAT MINISTRIES OF OREGON

Field Data
EIN 87-2837639
Case Number EO-2021273-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERCY SEAT MINISTRIES OF OREGON
Organization’s Mailing Address 13620 SW BEEF BEND ROAD UNIT 98
City PORTLAND
State OR
ZIP 97224
Accounting period End 12
Primary contact name ELIZABETH MARY BOHRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH BOHRINGER
CHIEF FINANCIAL OFFICER
13620 SW BEEF BEND ROAD UNIT 98
PORTLAND OR 97224

Officer/Director/Trustee Two

KRISTINA POLLARD
CHIEF EXECUTIVE OFFICER
5106 N ALBINA AVE
PORTLAND OR 97217

Officer/Director/Trustee Three

DANIEL CIULLO
CHIEF OPERATIONS OFFICER
5106 N ALBINA AVE
PORTLAND OR 97217

Officer/Director/Trustee Four

BRYANT BROOKS
BOARD PRESIDENT
13620 SW BEEF BEND ROAD UNIT 98
PORTLAND OR 97224

Organization’s website WWW.MERCY-SEAT.ORG
Organization’s email LIZ.BROOKS@MERCY-SEAT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELIZABETH BOHRINGER
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 9/28/2021

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