FORM 1023-EZ for CUERVOS FUTBOL CLUB

Field Data
EIN 82-0635695
Case Number EO-2017062-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CUERVOS FUTBOL CLUB
Organization’s Mailing Address 1949 SE PLAMQUIST RD UNIT 130
City MILWAUKIE
State OR
ZIP 97080
Accounting period End 12
Primary contact name ALBERTO VASQUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALBERTO VASQUEZ
PRESIDENT
1949 SE PALMQUIST RD UNIT 130
GRESHAM OR 97080

Officer/Director/Trustee Two

OMAR FRAGOSO SALAZAR
BOARD MEMBER
6415 NE KILLINGSWORTH ST UNIT C1
PORTLAND OR 97218

Officer/Director/Trustee Three

IVAN CORTES
BOARD MEMBER
12239 SE MOUNTAIN SUN DRIVE
CLACKAMAS OR 97015

Officer/Director/Trustee Four

THOMAS LAMPROS
BOARD MEMBER
18110 SIENA DRIVE
LAKE OSWEGO OR 97034

Officer/Director/Trustee Five

OCTAVIO SALAZAR GUZMAN
BOARD MEMBER
13030 SE RUSK RD UNIT 3
MILWAUKIE OR 97222

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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