FORM 1023-EZ for SCHOOL OF SCIENCE TECHNOLOGY BOOSTER CLUB

Field Data
EIN 81-0843235
Case Number EO-2016265-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SCHOOL OF SCIENCE TECHNOLOGY BOOSTER CLUB
Organization’s Mailing Address 18640 NW WALKER RD
City BEAVERTON
State OR
ZIP 97006
Accounting period End 6
Primary contact name AMY BLOOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNA HOOVER
PRESIDENT
3515 SW 108TH AVE
BEAVERTON OR 97005

Officer/Director/Trustee Two

AMY BLOOM
SECRETARY
3195 SW RALEIGHVIEW DR
PORTLAND OR 97225

Officer/Director/Trustee Three

LEE ANNE DILLON
TREASURER
13855 33RD PLACE
BEAVERTON OR 97008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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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