FORM 1023-EZ for UFK NORTHWEST

Field Data
EIN 30-0847853
Case Number EO-2019148-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UFK NORTHWEST
Organization’s Mailing Address 5822 NE 109TH AVE
City PORTLAND
State OR
ZIP 97220
Accounting period End 12
Primary contact name SURGE SOVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SURGE SOVA
PRESIDENT & FOUNDER
5822 NE 109TH AVE
PORTLAND OR 97220

Officer/Director/Trustee Two

VICTOR BOLTENKOV
BOARD OF TRUSTEE
208 SE 107TH AVE
VANCOUVER WA 98664

Officer/Director/Trustee Three

YELENA SOVA
BOARD OF TRUSTEE
5822 NE 109TH AVE
PORTLAND OR 97220

Officer/Director/Trustee Four

MIROSLAVA KRICHILSKAYA
BOARD OF TRUSTEE
3029 133RD PL SE
SEATTLE WA 98012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/15
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SURGE SOVA
Signature Title PRESIDENT & FOUNDER
Signature Date 5/23/19

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