FORM 1023-EZ for LAKE OSWEGO HIGH SCHOOL PERFORMING ARTS BOOSTERS

Field Data
EIN 82-3929669
Case Number EO-2018074-000068
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE OSWEGO HIGH SCHOOL PERFORMING ARTS BOOSTERS
Organization’s Mailing Address 333 S STATE STREET STE V311
City LAKE OSWEGO
State OR
ZIP 97034
Accounting period End 12
Primary contact name JENNIFER MADZIARCZYK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER MADZIARCZYK
PRESIDENT
160 GREENWOOD ROAD
LAKE OSWEGO OR 97034

Officer/Director/Trustee Two

ANGELA MICHTOM
EXECUTIVE VICE PRESIDENT
13226 ROGERS ROAD
LAKE OSWEGO OR 97035

Officer/Director/Trustee Three

JENNY DEVINE
VICE PRESIDENT/TREASURER - DRAMA
135 DEL PRADO STREET
LAKE OSWEGO OR 97035

Officer/Director/Trustee Four

LAILA MURPHY
SECRETARY
4 TOUCHSTONE UNIT 156
LAKE OSWEGO OR 97035

Organization’s website
Organization’s email LOPABOOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
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 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 JENNIFER MADZIARCZYK
Signature Title PRESIDENT
Signature Date 3/13/18

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