FORM 1023-EZ for ROUGHNECK ROLLER DERBY

Field Data
EIN 46-5559399
Case Number EO-2016312-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROUGHNECK ROLLER DERBY
Organization’s Mailing Address PO BOX 14444
City TULSA
State OK
ZIP 74104
Accounting period End 11
Primary contact name ASHLEY STAFFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY STAFFORD
PRESIDENT
1593 E 59TH ST
TULSA OK 74105

Officer/Director/Trustee Two

ABBEY HAUGHEY
VICE PRESIDENT
4309 S MADISON PL
TULSA OK 74105

Officer/Director/Trustee Three

STEFANIE RITTER
SECRETARY
2625 S JOSHUA AVE
BROKEN ARROW OK 74112

Officer/Director/Trustee Four

ASHLEY LINTON
TREASURER
618 S SHAWNEE ST
SKIATOOK OK 74070

Officer/Director/Trustee Five

KANDI RICHARDSON
SKATER RELATIONS
19428 S 43RD E AVE
BIXBY OK 74008

Organization’s website WWW.ROUGHNECKROLLERDERBY.COM
Organization’s email ROUGHNECKROLLERDERBY@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2012
Organization Incorporation State OK
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: 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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