FORM 1023-EZ for MENDEZ BOXING CLUB INC

Field Data
EIN 47-5502039
Case Number EO-2019182-000504
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENDEZ BOXING CLUB INC
Organization’s Mailing Address 2140 MAIN STREET
City SPRINGFIELD
State OR
ZIP 97477
Accounting period End 12
Primary contact name ALLEN SEGHETTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERON MENDEZ
PRESIDENT
36924 HILLS CREEK RD
SPRINGFIELD OR 97478

Officer/Director/Trustee Two

ALLEN SEGHETTI
SECRETARY
2464 MARJORIE AVE
EUGENE OR 97477

Officer/Director/Trustee Three

JONATHAN CARROLL
TREASURER
865 VAN BUREN ST
EUGENE OR 97402

Organization’s website WWW.MENDEZBOXINGCLUB.ORG
Organization’s email RYAN8290@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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 ALLEN SEGHETTI
Signature Title SECRETARY
Signature Date 6/27/19

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