FORM 1023-EZ for PDX-VAN 12 STEP RECOVERY LEAGUE

Field Data
EIN 81-3185334
Case Number EO-2016193-000569
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PDX-VAN 12 STEP RECOVERY LEAGUE
Organization’s Mailing Address PO BOX 18231
City PORTLAND
State OR
ZIP 97218
Accounting period End 12
Primary contact name LINDA HUDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL EDLUND
COMMISSIONER
11716 NE 49TH ST APT 11
VANCOUVER WA 98682

Officer/Director/Trustee Two

RICK FERGUSON
VICE COMMISSIONER
3714 SE GLADSTONE ST
PORTLAND OR 97202

Officer/Director/Trustee Three

LINDA HUDSON
TREASURER
5801 NE 64TH ST
VANCOUVER WA 98661

Officer/Director/Trustee Four

JENNIFER KELLY
SECRETARY
13314 SE BROOKLYN COURT
PORTLAND OR 97236

Officer/Director/Trustee Five

DOLEN FERGUSON
LIASION
9105 SE 32ND NUM 1
MILWAUKIE OR 97222

Organization’s website TSRL.ORG
Organization’s email LINDACRAFT-COLEMAN@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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