FORM 1023-EZ for KICKEASY

Field Data
EIN 86-1795395
Case Number EO-2021085-000508
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KICKEASY
Organization’s Mailing Address 8545 N CALHOUN AVE
City PORTLAND
State OR
ZIP 97203-2404
Accounting period End 12
Primary contact name JENNIFER CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER CLARK
PRESIDENT
8545 N CALHOUN AVE
PORTLAND OR 97203-2404

Officer/Director/Trustee Two

LARRY CLARK
SECRETARY
8545 N CALHOUN AVE
PORTLAND OR 97203-2404

Organization’s website
Organization’s email CLARK.JENN1977@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LARRY CLARK
Signature Title SECRETARY
Signature Date 2/3/2021

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