FORM 1023-EZ for ALPHA NW MISSION INC

Field Data
EIN 85-1179390
Case Number EO-2020242-000085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALPHA NW MISSION INC
Organization’s Mailing Address 399 NE EVERGREEN ROAD
City HILLSBORO
State OR
ZIP 97124
Accounting period End 12
Primary contact name ED VERGHESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ED VERGHESE
PRESIDENT
399 NE EVERGREEN RD
HILLSBORO OR 97124

Officer/Director/Trustee Two

CHARLEY ABRO
TREASURER
399 NE EVERGREEN ROAD
HILLSBORO OR 97124

Officer/Director/Trustee Three

ROY JOY
SECRETARY
399 NE EVERGREEN ROAD
HILLSBORO OR 97124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 ED VERGHESE
Signature Title PRESIDENT
Signature Date 8/26/2020

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