FORM 1023-EZ for XPERIENCE GIVING

Field Data
EIN 83-2604433
Case Number EO-2019353-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XPERIENCE GIVING
Organization’s Mailing Address 9755 SW BARNES ROAD - SUITE 560
City PORTLAND
State OR
ZIP 97225
Accounting period End 12
Primary contact name DAVID E ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN POWERS
PRESIDENT
2061 NW HOYT STREET
PORTLAND OR 97209

Officer/Director/Trustee Two

NATE SANFORD
TREASURER
1425 GREEN MEADOWS WAY
ASHLAND OR 97520

Officer/Director/Trustee Three

HOLLY PRIESTNER
SECRETARY
4401 BALCONES DRIVE
AUSTIN TX 78731

Officer/Director/Trustee Four

ALEX FRANK
VICE PRESIDENT
5050 WESTHEIMER RD - NO 200
HOUSTON TX 77056

Officer/Director/Trustee Five

CARTER WILLIAMS
DIRECTOR
1801 S MOPAC EXPRESSWAY - NO 100
AUSTIN TX 78746

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2018
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN POWERS
Signature Title PRESIDENT
Signature Date 12/17/2019

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