| Field | Data |
|---|---|
| EIN | 85-3811755 |
| Case Number | EO-2020317-000366 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PORTLAND HEALTH ACTION TEAM |
| Organization’s Mailing Address | 14109 SE HARNEY STREET |
| City | PORTLAND |
| State | OR |
| ZIP | 97236 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL GILBERT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JON HILL
PRESIDENT
2030 NW FLANDERS ST APT 305
PORTLAND OR 97209
ELIZABETH GLICKMAN
TREASURER
6806 SE 83RD AVE
PORTLAND OR 97266
MICHAEL GILBERT
SECRETARY
14109 SE HARNEY ST
PORTLAND OR 97236
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/9/2020 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | 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 | MICHAEL GILBERT |
| Signature Title | SECRETARY |
| Signature Date | 11/9/2020 |
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