FORM 1023-EZ for TIGARD COMMUNITY LOCAL OUTREACH

Field Data
EIN 85-4383601
Case Number EO-2021043-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIGARD COMMUNITY LOCAL OUTREACH
Organization’s Mailing Address 13500 SW PACIFIC HWY STE 499
City TIGARD
State OR
ZIP 97223
Accounting period End 12
Primary contact name PAM BENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAM BENSON
PRESIDENT, DIRECTOR
13500 SW PACIFIC HWY STE 499
TIGARD OR 97223

Officer/Director/Trustee Two

SEAN MATHEWS
SECRETARY, DIRECTOR
11575 SW PACIFIC HWY STE 109
TIGARD OR 97223

Officer/Director/Trustee Three

MICHAEL WILHELM
TREASURER, DIRECTOR
13085 SW 124TH AVE
TIGARD OR 97223

Officer/Director/Trustee Four

DANIEL COOKE
DIRECTOR
11085 SW 114TH
TIGARD OR 97223

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service 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 Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAM BENSON
Signature Title PRESIDENT, DIRECTOR
Signature Date 12/24/2020

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