FORM 1023-EZ for FEED THE MASS

Field Data
EIN 81-1208403
Case Number EO-2016202-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FEED THE MASS
Organization’s Mailing Address 4228 SE 15TH AVE APT 4
City PORTLAND
State OR
ZIP 97202
Accounting period End 12
Primary contact name JACOBSEN VALENTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOBSEN VALENTINE
DIRECTOR /TREASURER
4228 SE 15TH AVE APT 4
PORTLAND OR 97202

Officer/Director/Trustee Two

OLA ADENIJI
OFFICER
4228 SE 15TH AVE APT 4
PORTLAND OR 97202

Officer/Director/Trustee Three

CENNIE MOORE-FISHER
OFFICER
4228 SE 15TH AVE APT 4
PORTLAND OR 97202

Organization’s website FEEDTHEMASS.COM
Organization’s email FEEDTHEMASS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
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 Yes
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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