FORM 1023-EZ for RIVERSIDE GRIDIRON CLUB

Field Data
EIN 46-5693443
Case Number EO-2015113-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERSIDE GRIDIRON CLUB
Organization’s Mailing Address PO BOX 1222
City BOARDMAN
State OR
ZIP 97818
Accounting period End 12
Primary contact name TINA LIVINGSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEIL LIVINGSTON
PRESIDENT
309 NE BOARDMAN AVE
BOARDMAN OR 97818

Officer/Director/Trustee Two

LOREN DIETER
VICE PRESIDENT
102 SW WILLOWFORK DRIVE
BOARDMAN OR 97818

Officer/Director/Trustee Three

AMELIA NEWTON
TREASURER
71805 WAYNE LANE
BOARDMAN OR 97818

Officer/Director/Trustee Four

RHONDA BOOR
REGISTRAR
PO BOX 821
BOARDMAN OR 97818

Officer/Director/Trustee Five

TINA LIVINGSTON
SECRETARY
309 NE BOARDMAN AVE
BOARDMAN OR 97818

Organization’s website
Organization’s email RIVERSIDEGRIDIRON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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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