FORM 1023-EZ for PUBLIC ANNEX
| Field | Data |
|---|---|
| EIN | 81-0976299 |
| Case Number | EO-2016244-000160 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PUBLIC ANNEX |
| Organization’s Mailing Address | 4125 SE 54TH AVE |
| City | PORTLAND |
| State | OR |
| ZIP | 97206 |
| Accounting period End | 12 |
| Primary contact name | DAVID ATKIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHARLIE FOSTER
PRESIDENT
700 NE ROHRBACH RD
CORBETT OR 97019
Officer/Director/Trustee Two
DOMINIC AMORIN
TREASURER/SECRETARY
PO BOX 2401
PORTLAND OR 97208
Officer/Director/Trustee Three
CARISSA BURKETT
DIRECTOR
45 SE 86TH AVE
PORTLAND OR 97216
Officer/Director/Trustee Four
CYAN BOTT
DIRECTOR
5227 N VANCOUVER
PORTLAND OR 97217
Officer/Director/Trustee Five
JAMIE LEFCOVICH
DIRECTOR
4125 SE 54TH AVE
PORTLAND OR 97206
| Organization’s website | WWW.PUBLICANNEX.ORG |
|---|---|
| Organization’s email | EVERYBODY@PUBLICANNEX.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/2/2016 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A99 - Arts, Culture, and Humanities N.E.C. |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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