FORM 1023-EZ for TUALATIN CERT AND HAM TEAM

Field Data
EIN 84-4126340
Case Number EO-2020034-000047
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TUALATIN CERT AND HAM TEAM
Organization’s Mailing Address 10740 SW LUCAS DRIVE
City TUALATIN
State OR
ZIP 97062-8417
Accounting period End 6
Primary contact name CATHERINE HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE HOLLAND
PRESIDENT
10740 SW LUCAS DRIVE
TUALATIN OR 97062

Officer/Director/Trustee Two

CHARLIE BENSON
VICE PRESIDENT
5915 SW SEQUOIA DRIVE
TUALATIN OR 97062

Officer/Director/Trustee Three

JULAI BALDWIN
TREASURER
20895 SW MARTINAZZI AVENUE
TUALATIN OR 97062

Officer/Director/Trustee Four

RUSSELL GRAHAM
SECRETARY
20700 SW SHOSHONE DRIVE
TUALATIN OR 97062

Officer/Director/Trustee Five

BARBARA BRACKEN
DIRECTOR AT-LARGE
17445 SW RIVENDELL DRIVE
PORTLAND OR 97224

Organization’s website WWW.TUALATINCERT.ORG
Organization’s email TUALATINCERT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 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 CATHERINE HOLLAND
Signature Title PRESIDENT
Signature Date 1/29/2020

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