FORM 1023-EZ for THE MILLERS FOUNDATION

Field Data
EIN 47-5307085
Case Number EO-2015345-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MILLERS FOUNDATION
Organization’s Mailing Address 3829 SE MARKET ST
City PORTLAND
State OR
ZIP 97214
Accounting period End 12
Primary contact name KATHRYN STEVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHILLIPE BOUTROS
DIRECTOR
1983 NW FLANDERS ST APT 407
PORTLAND OR 97209

Officer/Director/Trustee Two

TYLER HONSINGER
TREASURER
6840 N PORTSMOUTH AVE
PORTLAND OR 97203

Officer/Director/Trustee Three

SOUVANNY MILLER
PRESIDENT
2216 SW VERMONT ST
PORTLAND OR 97219

Officer/Director/Trustee Four

SAMINA AHMED
SECRETARY
304 NE 69TH AVE
PORTLAND OR 97213

Officer/Director/Trustee Five

GALEN MCVEY
DIRECTOR
1982 NW FLANDERS AT APT 210
PORTLAND OR 97214

Organization’s website
Organization’s email KSTEVENS@BETHEMILLERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2015
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 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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