FORM 1023-EZ for SHPE OREGON PROFESSIONAL CHAPTER

Field Data
EIN 83-1390678
Case Number EO-2018309-000411
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHPE OREGON PROFESSIONAL CHAPTER
Organization’s Mailing Address 3023 KELLEY ENG CENTER - OSU
City CORVALLIS
State OR
ZIP 97331
Accounting period End 12
Primary contact name NESTOR QUINONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDUARDO COTILLA-SANCHEZ
PRESIDENT
5243 SW ROSE PL
CORVALLIS OR 97333

Officer/Director/Trustee Two

YURI RAMIREZ
VP - EXTERNAL, AND TREASURER
12839 NW SPRINGVILLE RD
PORTLAND OR 97229

Officer/Director/Trustee Three

ROMANNA FLORES
VP - COMMUNITY OUTREACH
8027 SE TAYLOR STREET
PORTLAND OR 97215

Officer/Director/Trustee Four

RICHARD FLORES
VP - INTERNAL
4232 SW CORBETT
PORTLAND OR 97239

Officer/Director/Trustee Five

NESTOR QUINONES
SECRETARY
13008 NW 26TH AVE
VANCOUVER WA 98685

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 NESTOR QUINONES
Signature Title SECRETARY
Signature Date 11/2/18

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