FORM 1023-EZ for MEDFORD BASEBALL

Field Data
EIN 84-3094807
Case Number EO-2019266-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDFORD BASEBALL
Organization’s Mailing Address 1349 RAMADA AVE
City MEDFORD
State OR
ZIP 97504
Accounting period End 12
Primary contact name DEREK HORSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK HORSLEY
PRESIDENT
1349 RAMADA AVE
MEDFORD OR 97504

Officer/Director/Trustee Two

KERRY CURTIS
VICE PRESIDENT
4450 BROWN RIDGE TERRACE
MEDFORD OR 97504

Officer/Director/Trustee Three

PATRICK HAVENS
TREASURER
4584 WOLF RUN DR
MEDFORD OR 97504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/19
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 DEREK HORSLEY
Signature Title PRESIDENT
Signature Date 9/19/19

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