FORM 1023-EZ for MONTAVILLA JAZZ FESTIVAL

Field Data
EIN 82-2174157
Case Number EO-2017201-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTAVILLA JAZZ FESTIVAL
Organization’s Mailing Address 1178 SE 86TH AVENUE
City PORTLAND
State OR
ZIP 97216-1330
Accounting period End 12
Primary contact name NEIL MATTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NEIL MATTSON
PRESIDENT
1178 SE 86TH AVE
PORTLAND OR 97216-1330

Officer/Director/Trustee Two

RYAN MEAGHER
SECRETARY
11018 NE DAVIS ST
PORTLAND OR 97220-2313

Officer/Director/Trustee Three

AARON HAYMAN
DIRECTOR
4253 SE MAIN ST
PORTLAND OR 97215-2434

Organization’s website HTTP://MONTAVILLAJAZZFEST.COM
Organization’s email INFO@MONTAVILLAJAZZFEST.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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