FORM 1023-EZ for NORTH BEND INDEPENDENT BASEBALL PROGRAM

Field Data
EIN 93-1121513
Case Number EO-2020043-000444
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH BEND INDEPENDENT BASEBALL PROGRAM
Organization’s Mailing Address PO BOX 274
City NORTH BEND
State OR
ZIP 97459
Accounting period End 12
Primary contact name AMANDA PETTENGILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN NEWSUM
PRESIDENT
1595 NEWMARK STREET
NORTH BEND OR 97459

Officer/Director/Trustee Two

AMANDA PETTENGILL
SECRETARY
1606 BAYVIEW DRIVE
COOS BAY OR 97420

Officer/Director/Trustee Three

JASON SAMORA
TREASURER
2041 GARFIELD
NORTH BEND OR 97459

Officer/Director/Trustee Four

STEPHEN GEDEROS
VICE PRESIDENT
PO BOX 1225
COOS BAY OR 97420

Organization’s website LEAGUES.BLUESOMBRERO.COM/NBIBP
Organization’s email NORTHBENDYOUTHBASEBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/1994
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 AMANDA PETTENGILL
Signature Title SECRETARY
Signature Date 2/10/2020

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