FORM 1023-EZ for SUCCESSFUL CHOICES

Field Data
EIN 93-1234091
Case Number EO-2018317-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUCCESSFUL CHOICES
Organization’s Mailing Address 6124 N KERBY AVE
City PORTLAND
State OR
ZIP 97211
Accounting period End 12
Primary contact name LAVON VAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD BONTON
CHAIR
13161 NE SISKIYOU
PORTLAND OR 97230

Officer/Director/Trustee Two

TESS WALOZ
SECRETARY
4728 CAMBRIDGE CT
LAKE OSWEGO OR 97235

Officer/Director/Trustee Three

ROBERT KEY
BOARD MEMBER
1530 CORNELL AVE
GLADSTONE OR 97207

Officer/Director/Trustee Four

JERRY PHILLIPS
BOARD MEMBER
13301 NE SACREMENTO ST
PORTLAND OR 97230

Officer/Director/Trustee Five

LAVON VAN
PRESIDENT
6124 N KERBY AVE
PORTLAND OR 97211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/98
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAVON VAN
Signature Title PRESIDENT
Signature Date 11/8/18

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