FORM 1023-EZ for TIMBERLAND CORVETTE CLUB INC

Field Data
EIN 83-1233543
Case Number EO-2020057-000408
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIMBERLAND CORVETTE CLUB INC
Organization’s Mailing Address 1065 W COPPER CT
City ROSEBURG
State OR
ZIP 97471
Accounting period End 12
Primary contact name ROBERT SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT SCOTT
PRESIDENT
1065 COPPER CT
ROSEBURG OR 97471-2704

Officer/Director/Trustee Two

PETE RUSSELL
VICE PRESIDENT
51 NE RONALD
WINSTON OR 07496

Officer/Director/Trustee Three

LARRY WAGNER
TREASURE
738 RIVER BEND RD
ROSEBURG OR 97471

Officer/Director/Trustee Four

HELEN WAGNER
SECRETARY
738 RIVER BEND RD
ROSEBURG OR 97471

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/1987
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT SCOTT
Signature Title PRESIDENT
Signature Date 2/24/2020

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