FORM 1023-EZ for THE OPTIMIST CLUB OF GRESHAM YOUTHFUND

Field Data
EIN 47-1746316
Case Number EO-2014251-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE OPTIMIST CLUB OF GRESHAM YOUTHFUND
Organization’s Mailing Address 4192 NORTHEAST 4TH STREET
City GRESHAM
State OR
ZIP 97030-6124
Accounting period End 9
Primary contact name BENJAMIN DEREMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BENJAMIN DEREMER
PRESIDENT
2025 SOUTHEAST KELLY AVENUE
GRESHAM OR 97080-9333

Officer/Director/Trustee Two

ANTHONY COSSU
VICE PRESIDENT
4505 NORTHEAST 91ST WAY
VANCOUVER WA 98665-5357

Officer/Director/Trustee Three

KEVIN SCHMID
SECRETARY/TREASURER
4192 NORTHEAST 4TH STREET
GRESHAM OR 97030-6124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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