FORM 1023-EZ for ROSEBURG BENEFIT CAR SHOW

Field Data
EIN 81-2843099
Case Number EO-2016161-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROSEBURG BENEFIT CAR SHOW
Organization’s Mailing Address PO BOX 336
City ROSEBURG
State OR
ZIP 97470
Accounting period End 12
Primary contact name LARRY WHEELER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LARRY WHEELER
CO CHAIRMAN
428 NE EMERALD DR
ROSEBURG OR 97470

Officer/Director/Trustee Two

GORDON BOYD
CO CHAIRMAN
260 PLUM LN
WINSTON OR 97496

Officer/Director/Trustee Three

SHEREE BRYANT
TREASURE/ SECRETARY
655 LAUREL OAKS DR
ROSEBURG OR 97471

Organization’s website NONE
Organization’s email WHEELE@CHARTER.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/1977
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
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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