FORM 1023-EZ for CUBA EDUCATION AND RESEARCH FOUNDATION

Field Data
EIN 47-2783535
Case Number EO-2015028-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CUBA EDUCATION AND RESEARCH FOUNDATION
Organization’s Mailing Address 15726 SE DANA AVE
City MILWAUKIE
State OR
ZIP 97267
Accounting period End 12
Primary contact name MICHAEL CHAMBERLAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL CHAMBERLAIN
DIRECTOR, PRESIDENT, SECRETARY
15726 SE DANA AVE
MILWAIKIE OR 97267

Officer/Director/Trustee Two

HARVEY CLAWSON
DIRECTOR, VICE-PRESIDENT
5911 NW CHERRY
VANCOUVER WA 98663-1140

Officer/Director/Trustee Three

ROBIN CASH
DIRECTOR, TREASURER
6923 NE MORRIS
PORTLAND OR 97213-5247

Officer/Director/Trustee Four

WES KEMPFER
DIRECTOR
4101 NE SUMMER ST
PORTLAND OR 97211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B05 - Research Institutes and/or Public Policy Analysis
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 Yes
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
Signature Title
Signature Date

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