FORM 1023-EZ for HALOSPACE FOUNDATION

Field Data
EIN 85-1150412
Case Number EO-2020148-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALOSPACE FOUNDATION
Organization’s Mailing Address 4434 SE CLAY ST
City PORTLAND
State OR
ZIP 97215
Accounting period End 10
Primary contact name PHILLIP SITBON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP SITBON
PRESIDENT
4434 SE CLAY ST
PORTLAND OR 97215

Officer/Director/Trustee Two

JEREMY PARRA
SECRETARY
7017 SW 76TH
PORTLAND OR 97223

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2020
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 PHILLIP SITBON
Signature Title PRESIDENT
Signature Date 5/25/2020

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