FORM 1023-EZ for EXOTIC BIRD RESCUE OF OREGON

Field Data
EIN 93-1287626
Case Number EO-2014226-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXOTIC BIRD RESCUE OF OREGON
Organization’s Mailing Address PO BOX 14863
City PORTLAND
State OR
ZIP 97293
Accounting period End 12
Primary contact name CHRISTINE PULSINELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JARRINE SHAW
DIRECTOR
2793 NE 22ND COURT
GRESHAM OR 97030

Officer/Director/Trustee Two

CHRISTINE PULSINELLI
TREASURER
7515 SW SPRUCE STREET
TIGARD OR 97223

Officer/Director/Trustee Three

JENICA PODUJE
SECRETARY
9974 SW SUISLAW LANE
TUALATIN OR 97062

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2004
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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