FORM 1023-EZ for WORKING DOGS OREGON

Field Data
EIN 85-2788727
Case Number EO-2021116-000541
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORKING DOGS OREGON
Organization’s Mailing Address 3570 SW 90TH AVE
City PORTLAND
State OR
ZIP 97225
Accounting period End 6
Primary contact name DARIN CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARIN CAMPBELL
EXECUTIVE DIRECTOR
3570 SW 90TH AVE
PORTLAND OR 97225-2806

Officer/Director/Trustee Two

MIKE CAMPY
OFFICER
17680 SW ALEXANDER STREET
BEAVERTON OR 97003

Officer/Director/Trustee Three

DEBORAH ALBERS
OFFICER
20915 SE LANSING LANE
DAMASCUS OR 97089

Organization’s website WORKINGDOGSOREGON.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DARIN CAMPBELL
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/23/2021

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