FORM 1023-EZ for WESTVIEW FOOTBALL BOOSTER CLUB

Field Data
EIN 81-3687019
Case Number EO-2016251-000458
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTVIEW FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 3300 NW 185TH AVE 220
City PORTLAND
State OR
ZIP 97229
Accounting period End 12
Primary contact name JENNIFER WILK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA TRAVERS
PRESIDENT
16262 NW ENERGIC ST
PORTLAND OR 97229

Officer/Director/Trustee Two

SCOTT BORTNESS
VICE PRESIDENT
19090 NW DORENA ST
PORTLAND OR 97229

Officer/Director/Trustee Three

LEE WILLIAMSON
TREASURER NOMINEE
16166 NW GRAF ST
PORTLAND OR 97229

Officer/Director/Trustee Four

JENNIFER WILK
SECRETARY
17720 NW SOLANO CT
PORTLAND OR 97229

Organization’s website
Organization’s email BOOSTERCLUB@WESTVIEWHIGHFOOTBALL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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