FORM 1023-EZ for PAN AFRICAN FESTIVAL OF OREGON

Field Data
EIN 82-1732941
Case Number EO-2017244-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAN AFRICAN FESTIVAL OF OREGON
Organization’s Mailing Address PO BOX 2341
City BEAVERTON
State OR
ZIP 97075
Accounting period End 5
Primary contact name NAFISA FAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAFISA FAI
PRESIDENT/TREASURER
6625 SW 20TH AVE
BEAVERTON OR 97078

Officer/Director/Trustee Two

SAMUEL STOVIN
BOARD MEMBER
6625 SW 207TH AVE
BEAVERTON OR 97078

Officer/Director/Trustee Three

ABDIASIS MOHAMED
BOARD SECRETARY
421 SW OAK S
PORTLAND OR 97204

Officer/Director/Trustee Four

SABRINA SHEIKH
BOARD MEMBER
PO BOX 2341
BEAVERTON OR 97075

Officer/Director/Trustee Five

YONAS KASSIE
BOARD MEMBER
PO BOX 2341
BEAVERTON OR 97075

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 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
Signature Title
Signature Date

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