FORM 1023-EZ for COMMUNITY CHEST INC

Field Data
EIN 30-1064143
Case Number EO-2019119-000046
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY CHEST INC
Organization’s Mailing Address 4615 NE RODNEY ST
City PORTLAND
State OR
ZIP 97211
Accounting period End 8
Primary contact name TONY MELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY MELSON
EXECUTIVE DIRECTOR
PO BOX 11463
PORTLAND OR 97211

Officer/Director/Trustee Two

NNENNA LEWIS
TREASURER
4615 NE RODNEY AVE
PORTLAND OR 97211

Officer/Director/Trustee Three

ROBIN BEAVERS
BOARD CHAIR
4306 NE 34TH CIRCLE
VANCOUVER WA 98661

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
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 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 TONY MELSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/25/19

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