FORM 1023-EZ for CANNAMARIE

Field Data
EIN 82-4569578
Case Number EO-2018060-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANNAMARIE
Organization’s Mailing Address 16659 SE STEPHENS ST
City PORTLAND
State OR
ZIP 97233
Accounting period End 12
Primary contact name LAUREEN DALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREEN DALTON
PRESIDENT
16659 SE STEPHENS ST
PORTLAND OR 97233

Officer/Director/Trustee Two

JOYCE MUCK
SECRETARY/TREASURER
1824 NE 150TH AVENUE
PORTLAND OR 97230

Officer/Director/Trustee Three

IAN DALTON
MEMBER OF BOARD
4330 SE 59TH AVENUE
PORTLAND OR 97206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAUREEN DALTON
Signature Title PRESIDENT
Signature Date 2/27/18

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