FORM 1023-EZ for CIRCLE COMMUNITY DANCE AND WELLNESS

Field Data
EIN 84-4947996
Case Number EO-2020064-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIRCLE COMMUNITY DANCE AND WELLNESS
Organization’s Mailing Address 14927 SE CEDAR AVE
City OAK GROVE
State OR
ZIP 97267
Accounting period End 6
Primary contact name SITARA LONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SITARA LONES
CHIEF EXECUTIVE OFFICER AND FOUNDER
14927 SE CEDAR AVE
OAK GROVE OR 97267

Officer/Director/Trustee Two

ZULEMA NAEGELE
BOARD OF DIRECTORS
4837 SE MALDEN DR
PORTLAND OR 97206

Officer/Director/Trustee Three

CHRIS HAGERMAN
BOARD OF DIRECTORS
2939 NW RALEIGH ST
PORTLAND OR 97201

Officer/Director/Trustee Four

MICHAEL GALEN
BOARD OF DIRECTORS
5326 N WILLIAMS AVE
PORTLAND OR 97217

Officer/Director/Trustee Five

ELENA VILLA
BOARD OF DIRECTORS
14704 SE OATFIELD RD
MILWAUKIE OR 97267

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 SITARA LONES
Signature Title CHIEF EXECUTIVE OFFICER AND FOUNDER
Signature Date 3/2/2020

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