FORM 1023-EZ for FOAM HOMES

Field Data
EIN 81-4535198
Case Number EO-2016356-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOAM HOMES
Organization’s Mailing Address 8990 SE 79TH PL
City PORTLAND
State OR
ZIP 97206
Accounting period End 1
Primary contact name IUSTINIAN POPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IUSTINIAN POPA
DIRECTOR
8990 SE 79TH PL
PORTLAND OR 97206

Officer/Director/Trustee Two

HANNAH MART
SECRETARY/TREASURER
8990 SE 79TH PL
PORTLAND OR 97206

Officer/Director/Trustee Three

RYAN CREWS
BOARD CHAIRMAN
665 NW HOYT ST
PORTLAND OR 97209

Organization’s website HTTPS://WWW.FACEBOOK.COM/FOAM.HOMES.1
Organization’s email HOMEFOAMPDX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
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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