FORM 1023-EZ for BASE TEN MATH

Field Data
EIN 82-4043914
Case Number EO-2018029-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BASE TEN MATH
Organization’s Mailing Address 3825 SW 54TH PLACE
City PORTLAND
State OR
ZIP 97221-2176
Accounting period End 12
Primary contact name SIDSEL ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIDSEL ANDERSON
CHIEF OPERATING OFFICER
3825 SW 54TH PLACE
PORTLAND OR 97221-2176

Officer/Director/Trustee Two

REENA GUPTA
CHIEF FINANCIAL OFFICER
16584 NW ARGYLE WAY
PORTLAND OR 97229-1864

Officer/Director/Trustee Three

BRAD NELSON
CHAIR PERSON OF THE GOVERNING BODY
PO BOX 9338
PORTLAND OR 97207-9338

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 SIDSEL ANDERSON
Signature Title CHIEF OPERATING OFFICER
Signature Date 1/25/18

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