FORM 1023-EZ for PDX GUITAR 4 KIDS

Field Data
EIN 82-0782678
Case Number EO-2017075-000578
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PDX GUITAR 4 KIDS
Organization’s Mailing Address 4220A SE SALMON STREET
City PORTLAND
State OR
ZIP 97215
Accounting period End 3
Primary contact name THEO DALEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THEO DALEY
DIRECTOR
4220A SE SALMON STREET
PORTLAND WA 98221

Officer/Director/Trustee Two

KATHY PRUNTY
OFFICER OF PLANNING
14172 MADRONA DRIVE
ANACORTES WA 98221

Officer/Director/Trustee Three

MICHAEL DALEY
OFFICER OF COMMUNICATIONS
14172 MADRONA DRIVE
ANACORTES OR 98221

Officer/Director/Trustee Four

JESSIE PASCARELLI
CHIEF TECHNICAL OFFICER
4220A SE SALMON STREET
PORTLAND OR 98221

Organization’s website HTTPS://WWW.PDXGUITAR4KIDS.COM/
Organization’s email PDXGUITAR4KIDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
Organization’s purpose Charitable: No
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 Yes
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 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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