FORM 1023-EZ for PUTNAM YOUTH FOOTBALL

Field Data
EIN 84-1926649
Case Number EO-2019155-000046
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUTNAM YOUTH FOOTBALL
Organization’s Mailing Address PO BOX 68212
City MILWAUKIE
State OR
ZIP 97268
Accounting period End 12
Primary contact name LORA M HAGUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN KOST
PRESIDENT
2818 SE SWAIN
MILWAUKIE OR 97267

Officer/Director/Trustee Two

CRYSTAL WEST
SECRETARY
1707 SE KEANU CT
MILWAUKIE OR 97267

Officer/Director/Trustee Three

CHRISTINA COLEMAN
REGISTRAR
15713 SE ARISTA
MILWAUKIE OR 97267

Officer/Director/Trustee Four

LORA HAGUE
TREASURER
5757 SE WILLOW
MILWAUKIE OR 97267

Organization’s website WWW.PUTNAMYOUTHFOOTBALL.COM
Organization’s email RPYFTREASURER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 LORA HAGUE
Signature Title TREASURER
Signature Date 5/31/19

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