| Field | Data |
|---|---|
| EIN | 85-0737347 |
| Case Number | EO-2020156-000212 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MID-COUNTY PATIENTS CRISIS FUND |
| Organization’s Mailing Address | 5045 SW 26TH PLACE |
| City | PORTLAND |
| State | OR |
| ZIP | 97239-2139 |
| Accounting period End | 12 |
| Primary contact name | TAMARA HARTLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TAMARA HARTLEY
PRESIDENT, SECRETARY
5045 SW 26TH PLACE
PORTLAND OR 97239-2162
CHRISTINA SONG
BOARD MEMBER
4848 SE GRANT ST
PORTLAND OR 97215
DIVNEET KAUR
BOARD MEMBER
12710 SE DIVISION ST
PORTLAND OR 97236-3134
KENNETH RATHMAN
BOARD MEMBER
12710 SE DIVISION ST
PORTLAND OR 97236-3134
| Organization’s website | |
|---|---|
| Organization’s email | MIDCOUNTYPATIENTSCRISISFUND@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/16/2020 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | Yes |
| 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 | TAMARA HARTLEY |
| Signature Title | PRESIDENT, SECRETARY |
| Signature Date | 6/2/2020 |
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