FORM 1023-EZ for SOUTHERN OREGON ROLLERGIRLS

Field Data
EIN 80-0575212
Case Number EO-2014356-000481
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN OREGON ROLLERGIRLS
Organization’s Mailing Address PO BOX 119
City PHOENIX
State OR
ZIP 97535
Accounting period End 12
Primary contact name JUDE FORLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIFFANY MAUDE
PRESIDENT
1023 E MAIN APT 2
ASHLAND OR 97520-5106

Officer/Director/Trustee Two

RACHAEL PATSTONE
VICE PRESIDENT
1741 SERENITY DR
MEDFORD OR 97504-5349

Officer/Director/Trustee Three

KYLEE ROHRBACKER
SECRETARY
885 CLAY ST APT 154
ASHLAND OR 97520-6713

Officer/Director/Trustee Four

JUDE FORLER
FINANCIAL OFFICER
3555 S PACIFIC HWY SPC 149
MEDFORD OR 97501-8861

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2009
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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