| Field | Data |
|---|---|
| EIN | 84-3733424 |
| Case Number | EO-2020035-000282 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CLAUDIA HOUSE |
| Organization’s Mailing Address | 7310 SE LAMBERT ST |
| City | PORTLAND |
| State | OR |
| ZIP | 97233 |
| Accounting period End | 12 |
| Primary contact name | LAMBERT ADJIBOGOUN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LAMBERT ADJIBOGOUN
EXECUTIVE DIRECTOR & BOARD MEMBER
230 SE 157TH AVE
PORTLAND OR 97233
JACQUES KOKO
BOARD OF DIRECTORS
5762 CAIRN CT
SALISBURY MD 21801
WANDA BROWN
BOARD OF DIRECTORS
2759 N VASSAR ST
WICHITA KS 67220
KIM HARTNAGEL
BOARD OF DIRECTORS
7310 SE LAMBERT ST
PORTLAND MD 97206
KATHERINE ASHFORD
BOARD DIRECTOR
7310 SE LAMBERT ST
PORTLAND OR 97206
| Organization’s website | WWW.CLAUDIAHOUSE.COM |
|---|---|
| Organization’s email | STAFF@CLAUDIAHOUSE.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/19/2019 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| 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 | LAMBERT ADJIBOGOUN |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 2/2/2020 |
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