FORM 1023-EZ for ROSE CITY TRACK CLUB

Field Data
EIN 81-4604771
Case Number EO-2018071-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSE CITY TRACK CLUB
Organization’s Mailing Address 422 NW 13TH AVE 821
City PORTLAND
State OR
ZIP 97209-2930
Accounting period End 12
Primary contact name LIZ ANJOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH ANJOS
PRESIDENT, TREASURER
1310 NW NAITO PKWY UNIT 705
PORTLAND OR 97209-3161

Officer/Director/Trustee Two

SHASTA ZIELKE
SECRETARY
2307 SE 72ND ST
PORTLAND OR 97215-4049

Officer/Director/Trustee Three

KRISTINA REESE
BOARD MEMBER
333 NE 10TH ST
BEND OR 97701-4931

Organization’s website WWW.ROSECITYTRACK.COM
Organization’s email HELLO@ROSECITYTRACK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/16
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 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 ELIZABETH ANJOS
Signature Title PRESIDENT, TREASURER
Signature Date 3/8/18

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