FORM 1023-EZ for COMMON GROUNDS OREGON

Field Data
EIN 87-1358124
Case Number EO-2021187-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMON GROUNDS OREGON
Organization’s Mailing Address 18240 DELENKA LN
City LAKE OSWEGO
State OR
ZIP 97034
Accounting period End 12
Primary contact name BRAD M PARROTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD PARROTT
DIRECTOR
18240 DELENKA LN
LAKE OSWEGO OR 97034

Officer/Director/Trustee Two

JERI PARROTT
DIRECTOR
18240 DELENKA LN
LAKE OSWEGO OR 97034

Officer/Director/Trustee Three

ASHLIE PARROTT
DIRECTOR
18240 DELENKA LN
LAKE OSWEGO OR 97034

Organization’s website NONE YET
Organization’s email BRADP@VERGEPOINTE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy 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 BRAD PARROTT
Signature Title DIRECTOR
Signature Date 7/2/2021

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