FORM 1023-EZ for THE NORTHWEST INSTITUTE FOR COMMUNITY ENRICHMENT

Field Data
EIN 37-1702115
Case Number EO-2016067-000418
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE NORTHWEST INSTITUTE FOR COMMUNITY ENRICHMENT
Organization’s Mailing Address 3415 SE 74TH AVENUE APT 20
City PORTLAND
State OR
ZIP 97206-9358
Accounting period End 12
Primary contact name SHABINA SHARIFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHABINA SHARIFF
COORDINATOR
3415 SE 74TH AVE APT 20
PORTLAND OR 97206-9358

Officer/Director/Trustee Two

BRIAN LAIRD
BOARD TREASURER
603 NW 29TH STREET
CORVALLIS OR 97330-5240

Officer/Director/Trustee Three

CHRIS BECKER
BOARD CHAIR
870 W 16TH AVENUE
EUGENE OR 97402-4017

Officer/Director/Trustee Four

ALLISON CURTIS
BOARD MEMBER AT LARGE
3424 NE TILLAMOOK STREET
PORTLAND OR 97212-5155

Officer/Director/Trustee Five

EMMA NEWMAN
BOARD MEMBER AT LARGE
1208 KELLY BLVD
SPRINGFIELD OR 97477-3756

Organization’s website WWW.THENICE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building 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 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
Signature Title
Signature Date

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