FORM 1023-EZ for HS STAND UP FOUNDATION

Field Data
EIN 81-2814538
Case Number EO-2020261-000388
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HS STAND UP FOUNDATION
Organization’s Mailing Address 11630 NE FREMONT ST
City PORTLAND
State OR
ZIP 97220
Accounting period End 12
Primary contact name KEEVIN COLLIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEEVIN COLLIER
PRESIDENT
11630 NE FREMONT ST
PORTLAND OR 97220

Officer/Director/Trustee Two

TIFFANY HASSELBROOK
SECRETARY
1329 NE 160TH
PORTLAND OR 97230

Officer/Director/Trustee Three

CARLOS CROCHETT
DIRECTOR
487 SE 169TH AVE APT 211
PORTLAND OR 97233

Organization’s website HSSTANDUP.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEEVIN COLLIER
Signature Title PRESIDENT
Signature Date 9/15/2020

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