FORM 1023-EZ for PREP OREGON

Field Data
EIN 46-4225947
Case Number EO-2014303-000005
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PREP OREGON
Organization’s Mailing Address PO BOX 66122
City PORTLAND
State OR
ZIP 97290
Accounting period End 12
Primary contact name JEAHARA SHENTEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALERIC KELLY
PRESIDENT
PO BOX 66122
PORTLAND OR 97290

Officer/Director/Trustee Two

LAURIE KELLY
VICE PRESIDENT
PO BOX 66122
PORTLAND OR 97290

Officer/Director/Trustee Three

TIM SCHALK
TREASURER
PO BOX 66122
PORTLAND OR 97290

Officer/Director/Trustee Four

SUSIE MOSELY
SECRETARY
PO BOX 66122
PORTLAND OR 97290

Officer/Director/Trustee Five

JEAHARA SHENTEAL - SCHALK
OFFICIAL CONSULTANT
PO BOX 66122
PORTLAND OR 97290

Organization’s website WWW.PREP-OREGON.COM
Organization’s email PREPOREGON@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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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