FORM 1023-EZ for MONTAVILLA INITIATIVE
| Field | Data |
|---|---|
| EIN | 82-5430570 |
| Case Number | EO-2018264-000288 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MONTAVILLA INITIATIVE |
| Organization’s Mailing Address | 7505 SE STARK STREET |
| City | PORTLAND |
| State | OR |
| ZIP | 97215-2201 |
| Accounting period End | 12 |
| Primary contact name | ANGELA TODD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANGELA TODD
PRESIDENT
7505 SE STARK ST
PORTLAND OR 97215
Officer/Director/Trustee Two
BEN KERENSA
VICE PRESIDENT
7505 SE STARK ST
PORTLAND OR 97215-2201
Officer/Director/Trustee Three
JEFF CHURCH
TREASURER
7505 SE STARK ST
PORTLAND OR 97215-2201
Officer/Director/Trustee Four
EVELYN MACPHERSON
SECRETARY
7505 SE STARK ST
PORTLAND OR 97215-2202
Officer/Director/Trustee Five
JULIE MCCONNELL
BOARD MEMBER
7505 SE STARK ST
PORTLAND OR 97215-2201
| Organization’s website | WWW.MONTAVILLA.ORG |
|---|---|
| Organization’s email | COMMUNICATIONS@MONTAVILLA.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/16/18 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W99 - Public, Society Benefit - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: Yes Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| 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 | BEN KERENSA |
| Signature Title | VICE PRESIDENT |
| Signature Date | 9/19/18 |
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