FORM 1023-EZ for JAN KITTELSON EDUCATION FUND

Field Data
EIN 46-1993243
Case Number EO-2016309-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAN KITTELSON EDUCATION FUND
Organization’s Mailing Address 8817 SW GREENING LANE
City TIGARD
State OR
ZIP 97224
Accounting period End 12
Primary contact name PATRICIA K THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN HUGHART
PRESIDENT AND BOARD CHAIR
8817 SW GREENING LANE
TIGARD OR 97224

Officer/Director/Trustee Two

MATTHEW KITTELSON
DIRECTOR
19747 ASPEN RIDGE DRIVE
BEND OR 97702

Officer/Director/Trustee Three

BRIAN KITTELSON
DIRECTOR
76201 DUFUR VALLEY ROAD
DUFUR OR 97021

Officer/Director/Trustee Four

PATRICIA THOMAS
SECRETARY
PO BOX 230346
TIGARD OR 97281-0346

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2013
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-1993243
Case Number EO-2015049-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAN KITTELSON EDUCATION FUND
Organization’s Mailing Address 8817 SW GREENING LANE
City TIGARD
State OR
ZIP 97224
Accounting period End 12
Primary contact name PATRICIA K THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN HUGHART
PRESIDENT AND BOARD CHAIR
8817 SW GREENING LANE
TIGARD OR 97224

Officer/Director/Trustee Two

MATTHEW KITTELSON
DIRECTOR
8817 SW GREENING LANE
TIGARD OR 97224

Officer/Director/Trustee Three

BRIAN KITTELSON
DIRECTOR
8817 SW GREENING LANE
TIGARD OR 97224

Officer/Director/Trustee Four

PATRICIA THOMAS
SECRETARY
PO BOX 230346
TIGARD OR 97281-0346

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2013
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 Yes
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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