FORM 1023-EZ for UNITY IN OUR COMMUNITY

Field Data
EIN 86-2837941
Case Number EO-2021100-000506
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITY IN OUR COMMUNITY
Organization’s Mailing Address 3511 NE MLK JR BLVD
City PORTLAND
State OR
ZIP 97212
Accounting period End 3
Primary contact name QUINNEISHA HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNL JACKSON
CHAIRPERSON
750 SW 9TH AVE 1707
PORTLAND OR 97205

Officer/Director/Trustee Two

ROYCHELLE BROWN
BOARD MEMBER
2911 NE 68TH 71
VANCOUVER WA 98665

Officer/Director/Trustee Three

CYNTHIA WILLIAMS
SECRETARY
1801 NE 162 35
PORTLAND OR 97230

Officer/Director/Trustee Four

DAVID STIGLER
BOARD MEMBER
1999 NE DIVISION ST
PORTLAND OR 97230

Officer/Director/Trustee Five

SHAWNDRA ADAMS
BOARD MEMBER
19911 NE HALSEY AVE
PORTLAND OR 97230

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 JOHNL JACKSON
Signature Title CHAIRPERSON
Signature Date 3/25/2021

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