FORM 1023-EZ for ROSE CITY YOUTH SAILING SOCIETY

Field Data
EIN 45-3969600
Case Number EO-2016004-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROSE CITY YOUTH SAILING SOCIETY
Organization’s Mailing Address 8700 SW WHITE COURT
City PORTLAND
State OR
ZIP 97225
Accounting period End 12
Primary contact name KAREN S JACOBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAM SESAR
PRESIDENT
8700 SW WHITE COURT
PORTLAND OR 97225

Officer/Director/Trustee Two

JULIE SCHUMANN
SECRETARY
2833 NE 40TH
PORTLAND OR 97213

Officer/Director/Trustee Three

TERRY ANNIS
TREASURER
4209 NE 151ST AVE
VANCOUVER WA 98682

Officer/Director/Trustee Four

CHUCK STUCKEY
DIRECTOR
2745 NE 25TH AVE
PORTLAND OR 97212

Officer/Director/Trustee Five

GAIL O NEILL
DIRECTOR
69533 E ROLLING GREEN CT
WELCHES OR 97067

Organization’s website ROSECITYYACHTCLUB.ORG/RCYSS
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2011
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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 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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