FORM 1023-EZ for LITTLE CUTIES HOCKEY CLUB

Field Data
EIN 84-3411016
Case Number EO-2019364-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE CUTIES HOCKEY CLUB
Organization’s Mailing Address 1620 SE CLAYBOURNE ST SUITE A201
City PORTLAND
State OR
ZIP 97202
Accounting period End 12
Primary contact name KEVIN PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN PALMER
PRESIDENT
6515 SE 20TH AVE
PORTLAND OR 97202

Officer/Director/Trustee Two

FRANK BUZZI
TREASURER
2167 SW JEFFERSON
PORTLAND OR 97201

Officer/Director/Trustee Three

MCKINLEY PFAHL
VICE PRESIDENT
5612 SE 22ND AVE
PORTLAND OR 97202

Officer/Director/Trustee Four

TUCKER DOUGHERTY
SECRETARY
7106 N ARMOUR
PORTLAND OR 97203

Organization’s website HTTPS://LITTLECUTIESHOCKEY.COM
Organization’s email ADMIN@LITTLECUTIESHOCKEY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2019
Organization Incorporation State OR
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: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 KEVIN PALMER
Signature Title PRESIDENT
Signature Date 12/27/2019

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