FORM 1023-EZ for BONHAMS HOUSE

Field Data
EIN 81-3338952
Case Number EO-2017005-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BONHAMS HOUSE
Organization’s Mailing Address 2459 SE TUALATIN VALLEY HWY BOX 254
City HILLSBORO
State OR
ZIP 97123-9404
Accounting period End 9
Primary contact name STACIE LOOSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE DRAKE
PRESIDENT
31514 3RD ST NE
WASHOUGLA WA 98671-9999

Officer/Director/Trustee Two

STACIE LOOSE
VICE-PRESIDENT
1532 SE GERHARD DR
HILLSBORO OR 97123-9404

Officer/Director/Trustee Three

JENNIFER SCHWANKE
DIRECTOR
424 SOUTHGATE DR S
MONMOUTH OR 97361-2341

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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