FORM 1023-EZ for THE COLLAB LAB
| Field | Data |
|---|---|
| EIN | 84-4642292 |
| Case Number | EO-2020043-000272 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE COLLAB LAB |
| Organization’s Mailing Address | 3316 NE CLACKAMAS ST |
| City | PORTLAND |
| State | OR |
| ZIP | 97232-1946 |
| Accounting period End | 12 |
| Primary contact name | ANDREW HEDGES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANDREW HEDGES
EXECUTIVE DIRECTOR
3316 NE CLACKAMAS ST
PORTLAND OR 97232-1946
Officer/Director/Trustee Two
STACIE TAYLOR-CIMA
SECRETARY
200 P ST E22
SACRAMENTO CA 95814-6256
Officer/Director/Trustee Three
KELLY DE VRIES
TREASURER
2933 NE 37TH AVE
PORTLAND OR 97212-2845
| Organization’s website | HTTPS://THE-COLLAB-LAB.CODES |
|---|---|
| Organization’s email | CONTACT@THE-COLLAB-LAB.CODES |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/2/2020 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | J22 - Vocational Training |
| Organization’s purpose | Charitable: No 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 | 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 | 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 | ANDREW HEDGES |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 2/10/2020 |
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