FORM 1023-EZ for BOOST OREGON

Field Data
EIN 47-4538646
Case Number EO-2015212-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOOST OREGON
Organization’s Mailing Address PO BOX 8635
City PORTLAND
State OR
ZIP 97207-8635
Accounting period End 12
Primary contact name NADINE GARTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOEL AMUNDSON
PRESIDENT
2121 NE HALSEY STREET
PORTLAND OR 97232-1522

Officer/Director/Trustee Two

ELIZABETH MILESNICK
SECRETARY
111 SW 5TH AVENUE SUITE 3400
PORTLAND OR 97204-3604

Officer/Director/Trustee Three

YOONA PARK
VICE PRESIDENT
2206 NE 22ND AVENUE
PORTLAND OR 97212-4711

Officer/Director/Trustee Four

DAVID SOLONDZ
TREASURER
4258 SE WASHINGTON STREET
PORTLAND OR 97215-1651

Organization’s website WWW.BOOSTOREGON.ORG
Organization’s email BOOSTOREGON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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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