FORM 1023-EZ for SOUTH MEDFORD SUMMER BASEBALL

Field Data
EIN 83-3267455
Case Number EO-2019056-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH MEDFORD SUMMER BASEBALL
Organization’s Mailing Address 1672 DOVE LANE
City MEDFORD
State OR
ZIP 97501-4072
Accounting period End 12
Primary contact name RYAN MCHENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN MCHENRY
PRESIDENT
1672 DOVE LANE
MEDFORD OR 97501-4072

Officer/Director/Trustee Two

JOSH MOODY
VICE PRESIDENT
7711 REDTHORNE RD
ROGUE RIVER OR 97537-4656

Officer/Director/Trustee Three

WILLIAM LEWIS JR
SECRETARY
2105 OLD MILITARY RD
CENTRAL POINT OR 97502-1072

Officer/Director/Trustee Four

ADDIE MCHENRY
TREASURER
1672 DOVE LANE
MEDFORD OR 97501-4072

Officer/Director/Trustee Five

RAYMON LOVE
ATHLETIC DIRECTOR
503 SOUTH OAKDALE AVE
MEDFORD OR 97501-3525

Organization’s website
Organization’s email JRPANTHERBASEBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/19
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 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 RYAN MCHENRY
Signature Title PRESIDENT
Signature Date 2/20/19

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