FORM 1023-EZ for THE WOLF PACK MAT CLUB

Field Data
EIN 82-5165795
Case Number EO-2018129-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE WOLF PACK MAT CLUB
Organization’s Mailing Address PO BOX 1512
City TUALATIN
State OR
ZIP 97062
Accounting period End 12
Primary contact name JODI MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI MOORE
PRESIDENT
11795 SW TUALATIN ROAD
TUALATIN OR 97062

Officer/Director/Trustee Two

LAURIE RESER
TREASURER
17576 SW BULL MOUNTAIN ROAD
TIGARD OR 97224

Officer/Director/Trustee Three

TARA BROOKS
SECRETARY
8720 SW TUALATIN 206
TUALATIN OR 97062

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JODI MOORE
Signature Title PRESIDENT
Signature Date 4/27/18

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