FORM 1023-EZ for ROSE CITY WORK CAMP INC

Field Data
EIN 85-2413611
Case Number EO-2020230-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSE CITY WORK CAMP INC
Organization’s Mailing Address 12771 SW TOOZE ROAD
City SHERWOOD
State OR
ZIP 97140
Accounting period End 6
Primary contact name RYAN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN SMITH
PRESIDENT
12771 SW TOOZE ROAD
SHERWOOD OR 97140

Officer/Director/Trustee Two

MICHAEL HAMPTON
SECRETARY
26400 SW BAKER ROAD
SHERWOOD OR 97140

Officer/Director/Trustee Three

STEVE PRINGLE
DIRECTOR
7380 SW FLORENCE LANE
PORTLAND OR 97223

Organization’s website N/A
Organization’s email ROSECITYWORKCAMP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 Yes
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 SMITH
Signature Title PRESIDENT
Signature Date 8/13/2020

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