FORM 1023-EZ for NORTHSIDE PDX

Field Data
EIN 84-3975464
Case Number EO-2020035-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHSIDE PDX
Organization’s Mailing Address 520 SW YAMHILL ST SUITE 428
City PORTLAND
State OR
ZIP 97204
Accounting period End 7
Primary contact name ERIC R RATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRETT SMITH
PRESIDENT
2005 N BLANDENA ST
PORTLAND OR 97217

Officer/Director/Trustee Two

TROY ARP
SECRETARY
6345 N DELAWARE AVE
PORTLAND OR 97217

Officer/Director/Trustee Three

SANG KIM
VICE PRESIDENT
7088 N WELLESLEY AVE
PORTLAND OR 97203

Officer/Director/Trustee Four

DANIELLE ARP
TREASURER
6345 N DELAWARE AVE
PORTLAND OR 97217

Organization’s website HTTPS://NORTHSIDEPDX.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 BRETT SMITH
Signature Title PRESIDENT
Signature Date 2/2/2020

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