FORM 1023-EZ for BROKEN THROTTLE FOUNDATION

Field Data
EIN 85-3966699
Case Number EO-2021018-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROKEN THROTTLE FOUNDATION
Organization’s Mailing Address 20956 BUTTEVILLE RD NE
City AURORA
State OR
ZIP 97002
Accounting period End 12
Primary contact name TOMAS HINSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOMAS PORTILLO-HINSLEY
PRESIDENT
20956 BUTTEVILLE RD NE
AURORA OR 97002

Officer/Director/Trustee Two

GORDON TRUE
SECRETARY
312 NW 25TH PLACE
BATTLEGROUND WA 98604

Officer/Director/Trustee Three

MICHAEL SCOTT
REGISTERED AGENT
3767 EAST MAIN ST
HILLSBORO OR 97123

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TOMAS PORTILLO-HINSLEY
Signature Title PRESIDENT
Signature Date 11/19/2020

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