FORM 1023-EZ for KEIZER TRASH BANDITS

Field Data
EIN 87-0989915
Case Number EO-2021187-000045
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEIZER TRASH BANDITS
Organization’s Mailing Address 4812 HAYESVILLE DR NE
City SALEM
State OR
ZIP 97305-3325
Accounting period End 12
Primary contact name BEN HITTLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEN HITTLE
REG AGENT - DIRECTOR
4812 HAYESVILLE DR NE
SALEM OR 97305-3325

Officer/Director/Trustee Two

JASON BLACK
DIRECTOR OF COACHING
762 SANDPINE LOOP NE
KEIZER OR 97303-3371

Officer/Director/Trustee Three

ANNE BLACK
SECRETARY
762 SANDPINE LOOP NE
KEIZER OR 97303-3371

Organization’s website
Organization’s email KEIZERTRASHBANDITS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2021
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 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 BEN HITTLE
Signature Title REG AGENT - DIRECTOR
Signature Date 7/1/2021

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