FORM 1023-EZ for SOUTHERN OREGON FUTSAL LEAGUE

Field Data
EIN 81-4015765
Case Number EO-2018141-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN OREGON FUTSAL LEAGUE
Organization’s Mailing Address 2303 HILLCREST RD
City MEDFORD
State OR
ZIP 97504-6907
Accounting period End 12
Primary contact name SCOTT STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL ROSE
PRESIDENT
675 SOUTH 4TH STREET
JACKSONVILLE OR 97530-9764

Officer/Director/Trustee Two

XAVIER VALDEZ
VICE PRESIDENT
1010 LATHROP DR
CENTRAL POINT OR 97502-1891

Officer/Director/Trustee Three

SCOTT STEWART
TREASURER
2303 HILLCREST RD
MEDFORD OR 97504-6907

Officer/Director/Trustee Four

TODD COUCH
SECRETARY
3029 ELDORADO
MEDFORD OR 97504-8163

Organization’s website
Organization’s email SOUTHENOREGONFUTSALLEAGUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/16
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
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 CHERYL ROSE
Signature Title PRESIDENT
Signature Date 5/16/18

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