FORM 1023-EZ for PRODUCTCAMP PDX

Field Data
EIN 84-4054470
Case Number EO-2019360-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRODUCTCAMP PDX
Organization’s Mailing Address 12220 SW MORNING HILL DRIVE
City TIGARD
State OR
ZIP 97223
Accounting period End 6
Primary contact name MICHAEL KRUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL KRUSE
OPERATING OFFICER
12220 SW MORNING HILL DRIVE
TIGARD OR 97223

Officer/Director/Trustee Two

DAVID NASH
PRESIDENT
3521 NORTH ALBINA
PORTLAND OR 97227-1201

Officer/Director/Trustee Three

OLAF KOWALIK
VICE PRESIDENT
12220 SW MORNING HILL DRIVE
TIGARD OR 97223

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 MICHAEL KRUSE
Signature Title OPERATING OFFICER
Signature Date 12/22/2019

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