FORM 1023-EZ for CHEHALEM VALLEY IMPACT FASTPITCH SOFTBALL

Field Data
EIN 82-2574611
Case Number EO-2017240-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHEHALEM VALLEY IMPACT FASTPITCH SOFTBALL
Organization’s Mailing Address 22781 SW KATHY ST
City SHERWOOD
State OR
ZIP 97140
Accounting period End 12
Primary contact name CHRISTOPHER COPELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER COPELAND
PRESIDENT
22781 SW KATHY ST
SHERWOOD OR 97140

Officer/Director/Trustee Two

KERI ZUNIGA
TREASURER
2500 HAWORTH AVE
NEWBERG OR 97132

Officer/Director/Trustee Three

PHAT VOONG
CHAIRPERSON
100 E MOUNTAINVIEW DR
NEWBERG OK 97132

Officer/Director/Trustee Four

MARK TUBBS
OFFICER
1500 S SANDOZ RD SPACE 17
NEWBERG OR 97132

Officer/Director/Trustee Five

ANGELA BOURNE
VOTING MEMBER
2781 NW PINOT NOIR DR
MCMINNVILLE OR 97128

Organization’s website
Organization’s email CVIMPACTFASTPITCH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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
Signature Title
Signature Date

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