FORM 1023-EZ for PDX BALLERZ NORTHWEST
| Field | Data |
|---|---|
| EIN | 82-1066074 |
| Case Number | EO-2017244-000046 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PDX BALLERZ NORTHWEST |
| Organization’s Mailing Address | 13137 SE LINCOLN ST |
| City | PORTLAND |
| State | OR |
| ZIP | 97233 |
| Accounting period End | 12 |
| Primary contact name | PAT VIALVA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PAT VIALVA
PRESIDENT
13137 SE LINCOLN ST
PORTLAND OR 97233
Officer/Director/Trustee Two
NATHANIEL SCHREGARDUS
VICE PRESIDENT
3006 SE 131ST AVE
PORTLAND OR 97236
Officer/Director/Trustee Three
BOBBY ROTHSCHILD
TRESURER
12315 SE MT SCOTT BLVD
HAPPY VALLEY OR 97086
Officer/Director/Trustee Four
GEORGE MARIO GAINES JR
MARKETING DIRECTOR
10024 SE TAGGART ST
PORTLAND OR 97266
| Organization’s website | |
|---|---|
| Organization’s email | PDXBALLERZOREGON@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/6/2017 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N60 - Amateur Sports Clubs, Leagues, N.E.C. |
| 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 | Yes |
| 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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