FORM 1023-EZ for B LOCAL PDX

Field Data
EIN 81-1925119
Case Number EO-2017228-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name B LOCAL PDX
Organization’s Mailing Address 333 SW 5TH AVENUE SUITE 350
City PORTLAND
State OR
ZIP 97204-1740
Accounting period End 12
Primary contact name AMANDA A GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMERON MADILL
CHAIR
333 SW 5TH AVENUE SUITE 350
PORTLAND OR 97204-1740

Officer/Director/Trustee Two

MICHAEL MERCER
CO CHAIR, REGISTERED AGENT
6706 NE 25TH AVENEUE
PORTLAND OR 97211-5908

Officer/Director/Trustee Three

EMILY GOETZ
DIRECTOR
721 NW 9TH AVENUE SUITE 225
PORTLAND OR 97209-3451

Officer/Director/Trustee Four

DAVID KAHL
DIRECTOR
1010 SE WATER AVENUE
PORTLAND OR 97214-2100

Officer/Director/Trustee Five

KATE ROOD
DIRECTOR
1101 SW WASHINGTON ST
PORTLAND OR 97205-2313

Organization’s website HTTPS://WWW.BLOCALPDX.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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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