FORM 1023-EZ for MITCH PSO

Field Data
EIN 47-4359287
Case Number EO-2015196-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MITCH PSO
Organization’s Mailing Address PO BOX 1971
City TUALATIN
State OR
ZIP 97062
Accounting period End 6
Primary contact name RENEA OSTERMILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RENEA OSTERMILLER
PRESIDENT
17662 SW 80TH PLACE
PORLTAND OR 97224

Officer/Director/Trustee Two

BETH HUDSON
SECRETARY
10390 SW TAWASA COURT
TUALATIN OR 97062

Officer/Director/Trustee Three

JOLENE SIGLER
TREASURER
13952 SW BRAYDON CT
TIGARD OR 97224

Organization’s website WWW.MITCHPSO.ORG
Organization’s email MITCHCHARTERPSO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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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