FORM 1023-EZ for UPPER ROGUE YOUTH BASKETBALL

Field Data
EIN 83-1696643
Case Number EO-2018248-000067
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPPER ROGUE YOUTH BASKETBALL
Organization’s Mailing Address 468 SIENNA HILLS DRIVE
City EAGLE POINT
State OR
ZIP 97524
Accounting period End 12
Primary contact name TYRONE RABER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRONE RABER
PRESIDENT
468 SIENNA HILLS DR
EAGLE POINT OR 97524

Officer/Director/Trustee Two

RYAN MARRS
VICE PRESIDENT
539 N HIEGHTS DR
EAGLE POINT OR 97524

Officer/Director/Trustee Three

JESSICA GRIFFITHS
SECRETARY
366 SANDI WAY
EAGLE POINT OR 97524

Officer/Director/Trustee Four

LAURA RABER
TREASURER
468 SIENNA HILLS DR
EAGLE POINT OR 97524

Officer/Director/Trustee Five

JODI BALDWIN
CO-TREASURER
2510 BALL RD
EAGLE POINT OR 97524

Organization’s website
Organization’s email TLKRABER@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 TYRONE RABER
Signature Title PRESIDENT
Signature Date 9/3/18

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