FORM 1023-EZ for LADYBUG CDH FOUNDATION

Field Data
EIN 45-4199065
Case Number EO-2015292-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADYBUG CDH FOUNDATION
Organization’s Mailing Address 6670 SW AMBER LN
City PORTLAND
State OR
ZIP 97225
Accounting period End 12
Primary contact name JASON JOHNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LIZ DOOLEY
PRESIDENT
6670 SW AMBER LN
PORTLAND OR 97225

Officer/Director/Trustee Two

BRADI KNIGHT-GATES
TREASURER
14695 NW APPLEGATE LN
PORTLAND OR 97229

Officer/Director/Trustee Three

LORI HART
SECRETARY
2451 JORY HILL RD S
SALEM OR 97306

Officer/Director/Trustee Four

DAVE FITZHUGH
MEMBER AT LARGE
625 N HAYDEN BAY DR
PORTLAND OR 97217

Officer/Director/Trustee Five

KRISTEN BIER
MEMBER AT LARGE
5280 SW ELM AVE
BEAVERTON OR 97005

Organization’s website HTTP://WWW.LADYBUGCDHFOUNDATION.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2012
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
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 Yes
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 Yes
One Third Support Gifts No
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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