FORM 1023-EZ for BROOKINGS HARBOR BASEBALL CLUB

Field Data
EIN 81-1652235
Case Number EO-2016076-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROOKINGS HARBOR BASEBALL CLUB
Organization’s Mailing Address P O BOX 6446
City BROOKINGS
State OR
ZIP 97415
Accounting period End 12
Primary contact name TERESA VANGINDEREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERESA VANGINDEREN
AGENT OF RECORD
97646 MARINA HTS LP
BROOKINGS OR 97415

Officer/Director/Trustee Two

LORINDA SHEW
PRESIDENT
99865 S BANK CHETCO RIVER RD
BROOKINGS OR 97415

Officer/Director/Trustee Three

SHAWN HALL
VICE PRESIDENT
P O BOX 2885
BROOKINGS OR 97415

Officer/Director/Trustee Four

SUZANNA BONDE
SECRETARY
P O BOX 1774
BROOKINGS OR 97415

Officer/Director/Trustee Five

DANA FRANSISCO
TREASURER
600 A EASY STREET
BROOKINGS OR 97415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2016
Organization Incorporation State OR
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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