FORM 1023-EZ for AMITY VOLLEYBALL CLUB

Field Data
EIN 61-1863629
Case Number EO-2019114-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMITY VOLLEYBALL CLUB
Organization’s Mailing Address 8228 SE EOLA HILLS RD
City AMITY
State OR
ZIP 97101
Accounting period End 12
Primary contact name ALICIA VANDERZANDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA GRAHAM
PRESIDENT
302 N TRADE ST
AMITY OR 97101

Officer/Director/Trustee Two

SHANNON SMITH
SECRETARY
6770 ZENA RD
RICKREALL OR 97371

Officer/Director/Trustee Three

ALICIA VANDERZANDEN
TREASURER
8228 SE EOLA HILLS RD
AMITY OR 97101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/18
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: Yes
Religious: No
Educational: Yes
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 ALICIA VANDERZANDEN
Signature Title TREASURER
Signature Date 4/19/19

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