FORM 1023-EZ for BEND SENIOR HIGH ULTIMATE

Field Data
EIN 82-3681749
Case Number EO-2018341-000464
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEND SENIOR HIGH ULTIMATE
Organization’s Mailing Address 61107 CABIN LANE
City BEND
State OR
ZIP 97702
Accounting period End 12
Primary contact name CHRISSY CHRISTOFERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISSY CHRISTOFERSON
MANAGER
61107 CABIN LANE
BEND OR 97702

Officer/Director/Trustee Two

JOEL PITNEY
COACH
1342 NW ALBANY
BEND OR 97703

Organization’s website HTTP://BENDHIGHSCHOOLULTIMATE.COM/
Organization’s email CHRISSYC14@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 CHRISSY CHRISTOFERSON
Signature Title MANAGER
Signature Date 12/5/18

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