FORM 1023-EZ for DAYVILLE SCHOOL CLUB

Field Data
EIN 30-0971199
Case Number EO-2019038-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAYVILLE SCHOOL CLUB
Organization’s Mailing Address PO BOX C
City DAYVILLE
State OR
ZIP 97825-8
Accounting period End 7
Primary contact name TINA RHODA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYDNEY THOMPSON
PRESIDENT
29584 FRANKS CREEK RD
DAYVILLE OR 97826-5001

Officer/Director/Trustee Two

TIFFNIE SCHMADEKA
SECRETARY
PO BOX 193
DAYVILLE OR 97825-193

Officer/Director/Trustee Three

KRISTINA RHODA
TREASURE
PO BOX 320
DAYVILLE OR 97825-320

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/17
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
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 KRISTINA RHODA
Signature Title TREASURE
Signature Date 1/29/19

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