FORM 1023-EZ for PHOENIX MAT CLUB INC

Field Data
EIN 82-4973180
Case Number EO-2018109-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHOENIX MAT CLUB INC
Organization’s Mailing Address PO BOX 1038
City PHOENIX
State OR
ZIP 97535
Accounting period End 3
Primary contact name JON GAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON GAY
PRESIDENT
2648 W MAIN ST APT 15
MEDFORD OR 97535

Officer/Director/Trustee Two

JAMES BOWERS
VICE PRESIDENT
117 GARFIELD ST APT 3
ASHLAND OR 97520

Officer/Director/Trustee Three

MELINDA TRUEX
SECRETARY
2371 VOORHEES RD
MEDFORD OR 97501

Officer/Director/Trustee Four

ANNETTE SAMIS
FUNDRAISING DIRECTOR
113 C COURT
PHOENIX OR 97535

Organization’s website PHOENIXWRESTLING.COM
Organization’s email PHOENIXWRESTLING@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JON GAY
Signature Title PRESIDENT
Signature Date 4/15/18

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