FORM 1023-EZ for THE VANPORT MOSAIC

Field Data
EIN 47-5299448
Case Number EO-2015292-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE VANPORT MOSAIC
Organization’s Mailing Address 1009 NE STANTON
City PORTLAND
State OR
ZIP 97212
Accounting period End 8
Primary contact name DAMARIS WEBB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAMARIS WEBB
CHAIRPERSON, DIRECTOR
1009 NE STANTON
PORTLAND OR 97212

Officer/Director/Trustee Two

S RENEE MITCHELL
TREASURER, DIRECTOR
5820 SW BEAVERTON HILLSDALE HWY
PORTLAND OR 97221

Officer/Director/Trustee Three

LAURA LOFORTI
CHIEF OPERATING OFFICER, DIRECTOR
5305 NE 23RD AVENUE
PORTLAND OR 97211

Officer/Director/Trustee Four

SHALANDA SIMMS
OFFICER
1009 NE STANTON STREET
PORTLAND OR 97212

Officer/Director/Trustee Five

DON GLENN
OFFICER
1009 NE STANTON STREET
PORTLAND OR 97212

Organization’s website VANPORTMOSAIC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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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