FORM 1023-EZ for DOUGLAS MOTOCROSS CLUB CO

Field Data
EIN 81-1840163
Case Number EO-2017075-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOUGLAS MOTOCROSS CLUB CO
Organization’s Mailing Address 970 SE FAIRWAY DRIVE
City MYRTLE CREEK
State OR
ZIP 97457
Accounting period End 12
Primary contact name CHRISTOPHER PETERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAYTON SCHUYLER
PRESIDENT
970 SE FAIRWAY DRIVE
MYRTLE CREEK OR 97457

Officer/Director/Trustee Two

MIKHAIL SCHUYLER
SECRETARY
970 SE FAIRWAY DRIVE
MYRTLE CREEK OR 97457

Officer/Director/Trustee Three

CHRISTOPHER PETERMAN
ATTORNEY
420 SE JACKSON STREET
ROSEBURG OR 97470

Organization’s website
Organization’s email DMCM4@FRONTIER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
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 Yes
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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