FORM 1023-EZ for NORTHWEST HAVOC

Field Data
EIN 84-2098527
Case Number EO-2019224-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST HAVOC
Organization’s Mailing Address 1001 SW 31ST ST
City PENDLETON
State OR
ZIP 97801
Accounting period End 12
Primary contact name MIKE LEGORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE LEGORE
PRESIDENT
1001 SW 31ST ST
PENDLETON OR 97801

Officer/Director/Trustee Two

BRAIN FREELS
VICE PRESIDENT
390 S 5TH ST
ATHENA OR 97813

Officer/Director/Trustee Three

SHELLI FREELS
TREASURER
390 S 5TH ST
ATHENA OR 97813

Officer/Director/Trustee Four

SARAH MOORE
SECRETARY
1001 SW 31ST ST
PENDLETON OR 97801

Officer/Director/Trustee Five

KIMBERLY VERDIN
MEMBER AT LARGE
128 E CURRANT
PENDLETON OR 97801

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
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 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 MIKE LEGORE
Signature Title PRESIDENT
Signature Date 8/8/19

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