FORM 1023-EZ for COLEVITY

Field Data
EIN 47-2047552
Case Number EO-2014297-000559
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLEVITY
Organization’s Mailing Address 1310 NE 188TH PL
City PORTLAND
State OR
ZIP 97230
Accounting period End 12
Primary contact name JP VOILLEQUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAMI CURTIS
PRESIDENT DIRECTOR
1310 NE 188TH PL
PORTLAND OR 97230

Officer/Director/Trustee Two

BRUCE CURTIS
TREASURER DIRECTOR
1310 NE 188TH PL
PORTLAND OR 97230

Officer/Director/Trustee Three

COLLEEN CURTIS
SECRETARY DIRECTOR
1310 NE 188TH PL
PORTLAND OR 97230

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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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