FORM 1023-EZ for PORTLAND STUDENT PANDEMIC RESPONSE

Field Data
EIN 86-2055001
Case Number EO-2021102-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORTLAND STUDENT PANDEMIC RESPONSE
Organization’s Mailing Address 10150 SW LANCASTER RD
City PORTLAND
State OR
ZIP 97219-6303
Accounting period End 12
Primary contact name RYE SCHOLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYE SCHOLIN
PRESIDENT
10150 SW LANCASTER RD
PORTLAND OR 97219-6303

Officer/Director/Trustee Two

RIDLEY LIU
SECRETARY
1604 SE STARK ST
PORTLAND OR 97214-1459

Officer/Director/Trustee Three

REED ODETTE
BOARD MEMBER
3030 NE 26TH AVENUE
PORTLAND OR 97212-3547

Officer/Director/Trustee Four

ANOUK CLENDENNING
BOARD MEMBER
205 SW 97TH AVE
PORTLAND OR 97225-6904

Officer/Director/Trustee Five

ISABELLA ESTRADA
BOARD MEMBER
265 NW 88TH AVE
PORTLAND OR 97229-6621

Organization’s website HTTPS://PSPANDEMICRESPONSE.COM/
Organization’s email PSPR.BOARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 Yes
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 RYE SCHOLIN
Signature Title PRESIDENT
Signature Date 4/1/2021

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