FORM 1023-EZ for MV COUGAR FOOTBALL CLUB

Field Data
EIN 61-1760541
Case Number EO-2015142-000552
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MV COUGAR FOOTBALL CLUB
Organization’s Mailing Address 60991 SNOWBRUSH DRIVE
City BEND
State OR
ZIP 97702
Accounting period End 12
Primary contact name DANA NEHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN CRUM
PRESIDENT
60991 SNOWBRUSH DRIVE
BEND OR 97702

Officer/Director/Trustee Two

MIKE HUFF
SECRETARY
2726 GREAT HORNED PLACE
BEND OR 97701

Officer/Director/Trustee Three

JOHN NOSLER
TREASURER
62630 DIXON LOOP
BEND OR 97701

Organization’s website MVCOUGARFOOTBALL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2015
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 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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