FORM 1023-EZ for DAYBREAK COHOUSING FOUNDATION

Field Data
EIN 27-1065829
Case Number EO-2019148-000565
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAYBREAK COHOUSING FOUNDATION
Organization’s Mailing Address 2525 N KILLINGSWORTH ST SUITE 100
City PORTLAND
State OR
ZIP 97217
Accounting period End 12
Primary contact name ROBERT KLOHR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT KLOHR
TREASURER
2525 N KILLINGSWORTH ST
PORTLAND OR 97217

Officer/Director/Trustee Two

KENYA BUDD
PRESIDENT
2525 N KILLINGSWORTH ST
PORTLAND OR 97217

Officer/Director/Trustee Three

KATHY TYMOCZKO
SECRETARY
2525 N KILLINGSWORTH ST
PORTLAND OR 97217

Organization’s website
Organization’s email INFO@DAYBREAKCOHOUSING.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/09
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 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 ROBERT KLOHR
Signature Title TREASURER
Signature Date 5/24/19

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