FORM 1023-EZ for BSIDES PORTLAND

Field Data
EIN 82-5149973
Case Number EO-2018106-000926
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BSIDES PORTLAND
Organization’s Mailing Address 7600 N INTERSTATE AVE STE 201
City PORTLAND
State OR
ZIP 97217-5532
Accounting period End 12
Primary contact name JONATHAN HANNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN HANNIS
PRESIDENT
7934 N HURST AVE
PORTLAND OR 97203-5817

Officer/Director/Trustee Two

CASSIDY TIMZEN
TREASURER
3857 NE 15TH ST
GRESHAM OR 97030-4547

Officer/Director/Trustee Three

MICHAEL RADOV
SECRETARY
3120 NW JOHN OLSEN APT 29103
HILLSBORO OR 97124-7434

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U41 - Computer Science
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 JONATHAN HANNIS
Signature Title PRESIDENT
Signature Date 4/11/18

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