FORM 1023-EZ for KIWANIS CLUB OF ROCKWOOD GRESHAM

Field Data
EIN 83-3964373
Case Number EO-2019079-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF ROCKWOOD GRESHAM
Organization’s Mailing Address 1025 NE 176TH AVE
City PORTLAND
State OR
ZIP 97230
Accounting period End 9
Primary contact name JEFFERY REYNOLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFERY REYNOLDS
PRESIDENT/BOARD MEMBER
1025 NE 176TH AVE
PORTLAND OR 97230-6517

Officer/Director/Trustee Two

THOMAS CHRISTOFFER
SECRETARY/BOARD MEMBER
4115 NE 106TH AVENUE
VANCOUVER WA 98682

Officer/Director/Trustee Three

RICHARD TRACY
TREASURER/BOARD MEMBER
710 OVERLOOK AVENUE
GRESHAM OR 97030-5446

Officer/Director/Trustee Four

MARY CILE BRADLEY
BOARD MEMBER
13351 SE SCHILLER ST
PORTLAND OR 97236-3990

Officer/Director/Trustee Five

RICHARD LEIGH BRADLEY
BOARD MEMBER
13351 SE SCHILLER ST
PORTLAND OR 97236-3990

Organization’s website ROCKWOODKIWANIS.ORG
Organization’s email ROCKWOODKIWANIS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JEFFERY REYNOLDS
Signature Title PRESIDENT/BOARD MEMBER
Signature Date 3/16/19

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