FORM 1023-EZ for BEAVER RUGBY ALUMNI GROUP

Field Data
EIN 83-1954688
Case Number EO-2018285-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEAVER RUGBY ALUMNI GROUP
Organization’s Mailing Address 621 SW MORRISON STREET - SUITE 1050
City PORTLAND
State OR
ZIP 97205
Accounting period End 12
Primary contact name DEAN ALDRICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEOFF LATHAM
PRESIDENT
621 SW MORRISON ST - SUITE 1050
PORTLAND OR 97205

Officer/Director/Trustee Two

DEAN ALDRICH
SECRETARY
621 SW MORRISON ST - SUITE 1050
PORTLAND OR 97205

Officer/Director/Trustee Three

DEREK JENSEN
TREASURER
621 SW MORRISON ST - SUITE 1050
PORTLAND OR 97205

Officer/Director/Trustee Four

KEITH SWENSEN
BOARD MEMBER
621 SW MORRISON ST - SUITE 1050
PORTLAND OR 97205

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: Yes
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 DEAN ALDRICH
Signature Title SECRETARY
Signature Date 10/10/18

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