FORM 1023-EZ for OPEN FOOD NETWORK USA

Field Data
EIN 86-2399215
Case Number EO-2021093-000985
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPEN FOOD NETWORK USA
Organization’s Mailing Address 923 SE 15TH AVE
City PORTLAND
State OR
ZIP 97214-2609
Accounting period End 12
Primary contact name LAURIE WAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURIE WAYNE
PRESIDENT
923 SE 15TH AVE
PORTLAND OR 97214-2609

Officer/Director/Trustee Two

CARISA BOHUS
SECRETARY
923 SE 15TH AVE
PORTLAND OR 97214-2609

Officer/Director/Trustee Three

ANDREW BRETT
VICE PRESIDENT
42 BLACK DIAMOND RD
PORT ANGELES WA 98363-2401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 No
Correctness Declaration Yes
Signature Name LAURIE WAYNE
Signature Title PRESIDENT
Signature Date 3/3/2021

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