FORM 1023-EZ for FIRMINA FOUNDATION

Field Data
EIN 83-2521277
Case Number EO-2018332-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRMINA FOUNDATION
Organization’s Mailing Address PO BOX 22238
City MILWAUKIE
State OR
ZIP 97222
Accounting period End 12
Primary contact name CHARIS KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUKSHANA TRIEM
PRESIDENT
12573 SE 27TH AVE
MILWAUKIE OR 97222

Officer/Director/Trustee Two

CHARIS KENNEDY
SECRETARY
8314 N EDISON ST
PORTLAND OR 97203

Officer/Director/Trustee Three

PHILIP TRIEM
DIRECTOR
12573 SE 27TH AVE
MILWAUKIE OR 97222

Officer/Director/Trustee Four

BARBARA CALMELS
DIRECTOR
9300 NE 31ST ST
TERREBONNE OR 97760

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 CHARIS KENNEDY
Signature Title SECRETARY
Signature Date 11/26/18

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