FORM 1023-EZ for ROOSEVELT FOOTBALL ASSOCIATION

Field Data
EIN 82-0748503
Case Number EO-2017139-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROOSEVELT FOOTBALL ASSOCIATION
Organization’s Mailing Address 6941 NORTH CENTRAL STREET
City PORTLAND
State OR
ZIP 97203
Accounting period End 12
Primary contact name BRIAN WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICE WRIGHT
PRESIDENT
7736 SE 120TH PLACE
PORTLAND OR 97266

Officer/Director/Trustee Two

BRIAN WRIGHT
SECRETARY
7736 SE 120TH PLACE
PORTLAND OR 97266

Officer/Director/Trustee Three

MELISSA MORGAN
TRESURER
9231 NORTH HAVEN STREET
PORTLAND OR 97203

Officer/Director/Trustee Four

JIM KENNISON
VICE PRESIDENT
605 NW 133RD CIRCLE
VANCOUVER WA 98685

Organization’s website
Organization’s email ROOSEVELTFOOTBALL1906@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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
Signature Title
Signature Date

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