FORM 1023-EZ for PORTLAND FORWARD

Field Data
EIN 82-0644679
Case Number EO-2017087-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PORTLAND FORWARD
Organization’s Mailing Address 616 SE HARRISON STREET
City PORTLAND
State OR
ZIP 97214-4529
Accounting period End 12
Primary contact name CHARLES WILLIAMSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUDREY GNICH
PRES AND BOARD MEMBER
9 SE 3RD AVENUE
PORTLAND OR 97214-1650

Officer/Director/Trustee Two

JEFFERSON SMITH
VICE PRES AND BOARD MEMBER
11633 NE PACIFIC STREET
PORTLAND OR 97220-2274

Officer/Director/Trustee Three

MAIGEN BERGIO
SEC TREAS BOARD MEMBER
616 SE HARRISON STREET
PORTLAND OR 97214-4529

Officer/Director/Trustee Four

HOLLY HAGERMAN-ROUALT
BOARD MEMBER
2445 NW WESTOVER ROAD NO 204
PORTLAND OR 97210-3149

Officer/Director/Trustee Five

DOMINIC KUKLA
BOARD MEMBER
1605 SE 33RD AVENUE
PORTLAND OR 97214-5022

Organization’s website WWW.PORTLANDFORWARD.ORG
Organization’s email PORTLANDFORWARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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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