FORM 1023-EZ for HIGHLAND PARK MIDDLE SCHOOL BAND BOOSTER ASSOCIATION

Field Data
EIN 81-4534943
Case Number EO-2016336-000428
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIGHLAND PARK MIDDLE SCHOOL BAND BOOSTER ASSOCIATION
Organization’s Mailing Address 7000 SW WILSON AVENUE
City BEAVERTON
State OR
ZIP 97008
Accounting period End 6
Primary contact name ROBERT BLANDING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BLANDING
PRESIDENT
8695 SW AMICUS TERRACE
BEAVERTON OR 97007

Officer/Director/Trustee Two

JEANNIE IHDE
TREASURER
12205 SW JAEGER TERRACE
BEAVERTON OR 97007

Officer/Director/Trustee Three

JADA PEARSON
SECRETARY
15655 SW BRECCIA DRIVE
BEAVERTON OR 97007

Officer/Director/Trustee Four

DAVID HARRISON
VICE PRESIDENT
16190 SW BRYCE COURT
BEAVERTON OR 97007

Organization’s website WWW.HIGHLANDPARKBAND.WEEBLY.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
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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