FORM 1023-EZ for NEIGHBORHOOD NANNY FOUNDATION

Field Data
EIN 82-2109142
Case Number EO-2017193-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEIGHBORHOOD NANNY FOUNDATION
Organization’s Mailing Address 3438 SE 33RD AVE APT 3
City PORTLAND
State OR
ZIP 97202-1966
Accounting period End 7
Primary contact name AMBER BIELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER BIELMAN
EXECUTIVE DIRECTOR
3438 SE 33RD AVE APT 3
PORTLAND OR 97202-1966

Officer/Director/Trustee Two

CAROLYN TYRRELL
OFFICER
300 HIGH SCHOOL ROAD NE APT 406
BAINBRIDGE ISLAND WA 98110-1670

Organization’s website
Organization’s email AMBER@NEIGHBORHOODNANNY.ME
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: No
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 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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