FORM 1023-EZ for OREGON YOUTH LACROSSE

Field Data
EIN 83-3771715
Case Number EO-2019098-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OREGON YOUTH LACROSSE
Organization’s Mailing Address 13509 NE BRAZEE CT
City PORTLAND
State OR
ZIP 97230-3015
Accounting period End 12
Primary contact name LISA HOCKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDER TILLSON
BOARD CHAIR; PRESIDENT
13509 NW BRAZEE CT
PORTLAND OR 97230-3015

Officer/Director/Trustee Two

LISA HOCKMAN
TREASURER; DIRECTOR
7255 SW ALPINE DR
BEAVERTON OR 97008-5830

Officer/Director/Trustee Three

ROBERT LOONEY
SECRETARY; DIRECTOR
15885 FIR GROVE CT
BEAVERTON OR 97035-3602

Officer/Director/Trustee Four

DAVID SANFORD
VICE PRESIDENT; DIRECTOR
2590 NW BYRNE TERRACE
PORTLAND OR 97229-4480

Officer/Director/Trustee Five

ROBERT WEYER
DIRECTOR
2000 EAST MILL PLAIN BLVD APT 232
VANCOUVER WA 98661-4178

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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 LISA HOCKMAN
Signature Title TREASURER; DIRECTOR
Signature Date 4/5/19

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