FORM 1023-EZ for HEALTH CORE OF OREGON

Field Data
EIN 85-1497396
Case Number EO-2020181-000330
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH CORE OF OREGON
Organization’s Mailing Address PO BOX 2233
City BEAVERTON
State OR
ZIP 97075
Accounting period End 12
Primary contact name CARL BONOFIGLIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL BONOFIGLIO
PRESIDENT / DIRECTOR
PO BOX 2233
BEAVERTON OR 97075

Officer/Director/Trustee Two

KAREN BONOFIGLIO
TREASURER / SECRETARY
PO BOX 2233
BEAVERTON OR 97075

Officer/Director/Trustee Three

LLOYD GILHAM
DIRECTOR
PO BOX 2233
BEAVERTON OR 97075

Officer/Director/Trustee Four

TRACY PREVOST
DIRECTOR
PO BOX 2233
BEAVERTON OR 97075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 CARL BONOFIGLIO
Signature Title PRESIDENT / DIRECTOR
Signature Date 6/25/2020

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