FORM 1023-EZ for FB4K PORTLAND INC
| Field | Data |
|---|---|
| EIN | 82-4958794 |
| Case Number | EO-2018092-000253 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FB4K PORTLAND INC |
| Organization’s Mailing Address | 1820 NORTH SHORE RD |
| City | LAKE OSWEGO |
| State | OR |
| ZIP | 97034 |
| Accounting period End | 12 |
| Primary contact name | MARK WALLER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARK WALLER
DIRECTOR
1820 NORTH SHORE RD
LAKE OSWEGO OR 97034
Officer/Director/Trustee Two
JIM RUBLE
DIRECTOR
1500 RIDGECREST
LAKE OSWEGO OR 97034
Officer/Director/Trustee Three
LYNN PETERSON
DIRECTOR
555 G AVE
LAKE OSWEGO OR 97034
Officer/Director/Trustee Four
JONATHAN PUSKAS
DIRECTOR
215 CHANDLER PL
LAKE OSWEGO OR 97034
| Organization’s website | WWW.FB4KPORTLAND.ORG |
|---|---|
| Organization’s email | KURT@FB4KPORTLAND.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/28/18 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N19 - Nonmonetary Support N.E.C. |
| 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 | 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 | MARK WALLER |
| Signature Title | DIRECTOR |
| Signature Date | 3/30/18 |
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