FORM 1023-EZ for ROCKAWAY BEACH INTERSCHOLASTIC BASEBALL

Field Data
EIN 84-4515665
Case Number EO-2020038-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCKAWAY BEACH INTERSCHOLASTIC BASEBALL
Organization’s Mailing Address 25111 HWY 101 N
City ROCKAWAY BEACH
State OR
ZIP 97136
Accounting period End 7
Primary contact name ROB HERDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB HERDER
PRESIDENT
2511
ROCKAWAY BEACH OR 97136

Officer/Director/Trustee Two

JOSE LOZA
VICE PRESIDENT
16525 MCDONALD RD
NEHALEM OR 97131

Officer/Director/Trustee Three

MIKE WANTLAND
SECRETARY
25780 BEACH DR
ROCKAWAY BEACH OR 97136

Officer/Director/Trustee Four

CRYSTAL DIETRICH
TRESURER
35060 THE PROMENADE
NEHALEM OR 97131

Officer/Director/Trustee Five

JON SOUSA
MEMBER
4075 LATIMER RD
TILLAMOOK OR 97141

Organization’s website BLACKFLAGBASEBALL.WEBS.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2018
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 Yes
Donation of funds Yes
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 CRYSTAL DIETRICH
Signature Title TRESURER
Signature Date 2/5/2020

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