FORM 1023-EZ for NORTHWEST FIRE DIVERSITY COUNCIL

Field Data
EIN 83-3356890
Case Number EO-2019074-000747
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST FIRE DIVERSITY COUNCIL
Organization’s Mailing Address 5250 NE MARINE DRIVE
City PORTLAND
State OR
ZIP 97218
Accounting period End 12
Primary contact name NW FIRE DIVERSITY COUNCIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANI HILL
CHAIR
5250 NE MARINE DRIVE
PORTLAND OR 97218

Officer/Director/Trustee Two

JEFF GURSKE
VICE CHAIR
21880 NW CHERRY LANE
HILLSBORO OR 97124

Officer/Director/Trustee Three

EDWARD LINDSEY
SECRETARY TREASURER
13913 NW 55TH AVE
VANCOUVER WA 98685

Officer/Director/Trustee Four

FRED CHARLTON
DIRECTOR
11300 SE FULLER RD
MILWAUKIE OR 97222

Officer/Director/Trustee Five

KRISTAN MAURER
DIRECTOR
8800 NE HAZEL DELL AVENUE
VANCOUVER WA 98665

Organization’s website HTTP://NWFIREDIVERSITY.COM/
Organization’s email EDWARD.D.LINDSEY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EDWARD LINDSEY
Signature Title SECRETARY TREASURER
Signature Date 3/13/19

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