FORM 1023-EZ for NORTH WEST COUNTRY COMMUNITY OUTREACH

Field Data
EIN 56-2575433
Case Number EO-2020021-000450
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH WEST COUNTRY COMMUNITY OUTREACH
Organization’s Mailing Address 667 SE BARNES AVENUE
City GRESHAM
State OR
ZIP 97080-1650
Accounting period End 12
Primary contact name REGENA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WANDA BROADOUS
CHAIRPERSON
9000 NE MARTIN LUTHER KING BLVD 159
PORTLAND OR 97211

Officer/Director/Trustee Two

MARY BROWNE
TREASURER
6452 NE 36TH AVENUE
PORTLAND OR 97211

Officer/Director/Trustee Three

SARAH VANN
SECRETARY
3409 MAIN STREET
VANCOUVER WA 98663

Officer/Director/Trustee Four

KAREN PARKS
BOARD MEMBER
3635 NE LIBERTY STREET
PORTLAND OR 97211

Officer/Director/Trustee Five

REGENA WILLIAMS
DIRECTOR
667 SE BARNES
GRESHAM OR 97080

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2005
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name REGENA WILLIAMS
Signature Title DIRECTOR
Signature Date 1/16/2020

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