FORM 1023-EZ for MW ST JOSEPHS GRAND LODGE

Field Data
EIN 82-5528187
Case Number EO-2018136-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MW ST JOSEPHS GRAND LODGE
Organization’s Mailing Address 3503 N MISSISSIPPI AVE
City PORTLAND
State OR
ZIP 97227
Accounting period End 12
Primary contact name JOHN BRYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BRYANT
PRESIDENT
3503 N MISSISSIPPI AVE
PORTLAND OR 97227

Officer/Director/Trustee Two

NAMON FRANKLIN
GRAND SECRETARY
3503 N MISSISSIPPI AVE
PORTLAND OR 97227

Officer/Director/Trustee Three

CHARLES FUNCHEZ
GRAND TREASURER
3503 N MISSISSIPPI AVE
PORTLAND OR 97227

Officer/Director/Trustee Four

RODNEY BROWN
BOARD MEMBER
3503 N MISSISSIPPI AVE
PORTLAND OR 97227

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN BRYANT
Signature Title PRESIDENT
Signature Date 5/11/18

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