FORM 1023-EZ for PUEBLO UNIDO PDX

Field Data
EIN 82-2488480
Case Number EO-2018095-000550
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUEBLO UNIDO PDX
Organization’s Mailing Address 17405 NE GLISAN ST
City PORTLAND
State OR
ZIP 97230
Accounting period End 12
Primary contact name FRANCISCO RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCISCO RODRIGUEZ
PRESIDENT
115 SE 162ND AVE APT 1
PORTLAND OR 97233

Officer/Director/Trustee Two

CAMERON COVAL
EXECUTIVE DIRECTOR/ REGISTERED AGE
20121 SE STARK ST APT 246
PORTLAND OR 97233

Officer/Director/Trustee Three

DIANA MARIN DURAN
SECRETARY
16108 NE GLISAN ST
PORTLAND OR 97230

Officer/Director/Trustee Four

PATRICIA MORAN
BOARD MEMBER
17917 SE STARK ST
PORTLAND OR 97233

Organization’s website PUEBLOUNIDOPDX.ORG
Organization’s email PUEBLOUNIDOPDX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P84 - Ethnic, Immigrant Centers, 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 Yes
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 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 FRANCISCO RODRIGUEZ
Signature Title PRESIDENT
Signature Date 3/21/18

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