FORM 1023-EZ for COUNCIL OF PUBLIC HEALTH NURSING ORGANIZATIONS INC

Field Data
EIN 84-4342066
Case Number EO-2020023-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUNCIL OF PUBLIC HEALTH NURSING ORGANIZATIONS INC
Organization’s Mailing Address 15555 NW NORWICH STREET
City BEAVERTON
State OR
ZIP 97006
Accounting period End 12
Primary contact name LISA A CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA CAMPBELL
CHAIRPERSON
416 ARGO AVE
ALAMO HEIGHTS TX 78209

Officer/Director/Trustee Two

MARION DONOHOE
DIRECTOR
15555 NW NORWICH STREET
BEAVERTON OR 97006

Officer/Director/Trustee Three

LORI EDWARDS
DIRECTOR
15555 NW NORWICH STREET
BEAVERTON OR 97006

Officer/Director/Trustee Four

TOM ENGLE
SECRETARY
15555 NW NORWICH STREET
BEAVERTON OR 97006

Officer/Director/Trustee Five

ALEXANDRA GARCIA
DIRECTOR
15555 NW NORWICH STREET
BEAVERTON OR 97006

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 LISA CAMPBELL
Signature Title CHAIRPERSON
Signature Date 1/21/2020

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