FORM 1023-EZ for JUNIOR OLYS

Field Data
EIN 47-4733198
Case Number EO-2016006-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUNIOR OLYS
Organization’s Mailing Address 680 HAWTHORNE AVE SE SUITE 140
City SALEM
State OR
ZIP 97301
Accounting period End 12
Primary contact name JASON BEYROUTY PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON BEYROUTY
PRESIDENT
680 HAWTHORN AVE SE SUITE 140
SALEM OR 97301

Officer/Director/Trustee Two

SCOTT DANIELS
SECRETARY TREASURER
680 HAWTHORN AVE SE SUITE 140
SALEM OR 97301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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
Signature Title
Signature Date

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