FORM 1023-EZ for BAILEY PASSION SCHOLARSHIP FUND

Field Data
EIN 81-4609508
Case Number EO-2016358-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAILEY PASSION SCHOLARSHIP FUND
Organization’s Mailing Address 8421 SW 56TH AVE
City PORTLAND
State OR
ZIP 97219
Accounting period End 12
Primary contact name KOHEL HAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZA BAILEY
PRESIDENT
8421 SW 56TH AVE
PORTLAND OR 97219

Officer/Director/Trustee Two

KEVIN BAILEY
SECRETARY/TREASURER
8421 SW 56TH AVE
PORTLAND OR 97219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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