FORM 1023-EZ for CORVALLIS LADY KNIGHTS FPC INC

Field Data
EIN 83-3750375
Case Number EO-2019084-000676
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORVALLIS LADY KNIGHTS FPC INC
Organization’s Mailing Address 4471 NW LIVE OAK DR
City CORVALLIS
State OR
ZIP 97330-3399
Accounting period End 12
Primary contact name KELLIE JENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC JENSEN
PRESIDENT
4471 NW LIVE OAK DR
CORVALLIS OR 97330-3399

Officer/Director/Trustee Two

KELLIE JENSEN
SECRETARY
4471 NW LIVE OAK DR
CORVALLIS OR 97330-3399

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/19
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 KELLIE JENSEN
Signature Title SECRETARY
Signature Date 3/23/19

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