FORM 1023-EZ for JIMS WORLD ALS GOLF TOURNAMENT

Field Data
EIN 83-1923035
Case Number EO-2019106-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JIMS WORLD ALS GOLF TOURNAMENT
Organization’s Mailing Address 16333 SE RIVER FOREST PLACE
City OAK GROVE
State OR
ZIP 97267
Accounting period End 12
Primary contact name LYNN PASTORIUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN PASTORIUS
CO PRESIDENT
16333
OAK GROVE OR 97267

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G50 - Nerve, Muscle and Bone Diseases
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYNN PASTORIUS
Signature Title CO PRESIDENT
Signature Date 4/12/19

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