FORM 1023-EZ for SEEK CHANGE

Field Data
EIN 81-4115382
Case Number EO-2016288-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEEK CHANGE
Organization’s Mailing Address 240 NORTH BROADWAY STE 308
City PORTLAND
State OR
ZIP 97227
Accounting period End 12
Primary contact name MATTHEW BRAUN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY HARTILL
PRESIDENT
240 NORTH BROADWAY STE 308
PORTLAND OR 97227

Officer/Director/Trustee Two

CICI ROSS
VICE PRESIDENT
CB210 3181 SW SAM JACKSON PARK RD
PORTLAND OR 97239

Officer/Director/Trustee Three

AMANDA BUTLER
SECRETARY
920 SW 6TH AVE STE 1500
PORTLAND OR 97204

Officer/Director/Trustee Four

MATTHEW BRAUN
TREASURER
424 NW 14TH AVE
PORTLAND OR 97209

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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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