FORM 1023-EZ for PORTLAND STREET ART ALLIANCE

Field Data
EIN 81-3371890
Case Number EO-2016231-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PORTLAND STREET ART ALLIANCE
Organization’s Mailing Address 915 SE 33RD AVENUE SUITE B
City PORTLAND
State OR
ZIP 97214
Accounting period End 12
Primary contact name KOHEL HAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY CONKLIN
DIRECTOR /PRESIDENT
915 SE 33RD AVENUE SUITE B
PORTLAND OR 97214

Officer/Director/Trustee Two

TOMAS VALLADARES
DIRECTOR / SECRETARY
915 SE 33RD AVENUE SUITE B
PORTLAND OR 97214

Officer/Director/Trustee Three

GALEN MALCOLM
DIRECTOR
915 SE 33RD AVENUE SUITE B
PORTLAND OR 97214

Organization’s website WWW.PDXSTREETART.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A40 - Visual Arts 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 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
Signature Title
Signature Date

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