FORM 1023-EZ for NEIGHBORS NOURISHING COMMUNITIES

Field Data
EIN 46-4536188
Case Number EO-2014233-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEIGHBORS NOURISHING COMMUNITIES
Organization’s Mailing Address 17660 SW SHAWNEE TRAIL
City TUALATIN
State OR
ZIP 97062
Accounting period End 12
Primary contact name ROBERT KELLOGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHAD DARBY
DIRECTOR/PRESIDENT
17660 SW SHAWNEE TRAIL
TUALATIN OR 97062

Officer/Director/Trustee Two

ROBERT KELLOGG
DIRECOTR/SECRETARY
9412 SW ARIKARA DRIVE
TUALATIN OR 97062

Officer/Director/Trustee Three

CAITLIN BLOOD
DIRECTOR
7306 N VANCOUVER AVE
PORTLAND OR 97217

Officer/Director/Trustee Four

FRANK BUBENIK
DIRECTOR
17445 SW 107TH AVE
TUALATIN OR 97062

Officer/Director/Trustee Five

AUTUMN FISHER
DIRECTOR
9329 SW TONOPAH ST
TUALATIN OR 97062

Organization’s website WWW.FACEBOOK.COM/NEIGHBORSNC
Organization’s email NEIGHBORSNC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition 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 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 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
Signature Title
Signature Date

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