FORM 1023-EZ for SOCIAL IMPACT HILLSBORO OREGON

Field Data
EIN 81-5254405
Case Number EO-2017040-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOCIAL IMPACT HILLSBORO OREGON
Organization’s Mailing Address 265 NW FREEMAN AVE
City HILLSBORO
State OR
ZIP 97124
Accounting period End 12
Primary contact name TODD GAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD GAY
PRESIDENT
265 NW FREEMAN AVE
HILLSBORO OR 97124

Officer/Director/Trustee Two

HANNAH GAY
SECRETARY
265 NW FREEMAN AVE
HILLSBORO OR 97124

Officer/Director/Trustee Three

QUINTON OCONNOR
TREASURER
PO BOX 1106
HILLSBORO OR 97123

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T40 - Voluntarism Promotion
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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