FORM 1023-EZ for BELONG TOGETHER

Field Data
EIN 82-4357562
Case Number EO-2018120-000666
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELONG TOGETHER
Organization’s Mailing Address 1200 NW MARSHALL ST STE 904
City PORTLAND
State OR
ZIP 97209
Accounting period End 12
Primary contact name TAYLOR SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAYLOR SMITH
PRESIDENT
1200 NW MARSHALL ST STE 904
PORTLAND OR 97209

Officer/Director/Trustee Two

MICHELLE WATSON
BOARD CHAIR
9288 SW 77TH AVE
PORTLAND OR 97223

Officer/Director/Trustee Three

DAVID OBERG
BOARD MEMBER
11325 SW 14TH ST
BEAVERTON OR 97005

Officer/Director/Trustee Four

JANET WATSON
BOARD MEMBER
4808 SW SEYMOUR CT
PORTLAND OR 97221

Officer/Director/Trustee Five

GEORGE RAUCH
FINANCIAL ADVISOR
6670 GULF OF MEXICO DR
LONGBOAT KEY FL 47406

Organization’s website WWW.BELONGTOGETHER.ORG
Organization’s email TAYLOR@BELONGTOGETHER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q71 - International Migration, Refugee Issues
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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 TAYLOR SMITH
Signature Title PRESIDENT
Signature Date 4/27/18

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