FORM 1023-EZ for YOGA PUNX PDX

Field Data
EIN 83-0886506
Case Number EO-2018169-000632
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOGA PUNX PDX
Organization’s Mailing Address 3423 NE SISKIYOU ST
City PORTLAND
State OR
ZIP 97212
Accounting period End 6
Primary contact name SANDRA SIMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA SIMON
PRESIDENT AND EXECUTIVE DIRECTOR
3423 NE SISKIYOU ST
PORTLAND OR 97212

Officer/Director/Trustee Two

AMY PAGE
VP SECRETARY
3423 NE SISKIYOU ST
PORTLAND OR 97212

Officer/Director/Trustee Three

JESUS SOLIS
VP FINANCE
3810 N MICHIGAN
PORTLAND OR 97227

Organization’s website WWW.YOGAPUNXPDX.COM
Organization’s email YOGAPUNXPDX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 Yes
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 SANDRA SIMON
Signature Title PRESIDENT AND EXECUTIVE DIRECTOR
Signature Date 6/14/18

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