FORM 1023-EZ for FRIENDS OF SHELDON WATER POLO

Field Data
EIN 81-2512732
Case Number EO-2019269-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF SHELDON WATER POLO
Organization’s Mailing Address 975 OAK STREET SUITE 800
City EUGENE
State OR
ZIP 97401
Accounting period End 12
Primary contact name MIKE FAULCONER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE MERCER
DIRECTOR, PRESIDENT
2479 FRONTIER DR
EUGENE OR 97401

Officer/Director/Trustee Two

MATT BROWN
DIRECTOR
2586 RIVERWALK LOOP
EUGENE OR 97401

Officer/Director/Trustee Three

MARGIE ZERR
DIRECTOR
1720 CARMEL AVE
EUGENE OR 97401

Officer/Director/Trustee Four

MARY CARNEVALE
DIRECTOR
3329 SAINT KITTS AVE
EUGENE OR 97408

Officer/Director/Trustee Five

MARIANNE BRIGHAM
DIRECTOR
2285 SANDY DR
EUGENE OR 97401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/16
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MIKE MERCER
Signature Title DIRECTOR, PRESIDENT
Signature Date 9/24/19
EIN 81-2512732
Case Number EO-2016218-000031
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF SHELDON WATER POLO
Organization’s Mailing Address 975 OAK STREET SUITE 800
City EUGENE
State OR
ZIP 97401
Accounting period End 12
Primary contact name MIKE FAULCONER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE MERCER
DIRECTOR, PRESIDENT
2479 FRONTIER DR
EUGENE OR 97401

Officer/Director/Trustee Two

MATT BROWN
DIRECTOR
2586 RIVERWALK LOOP
EUGENE OR 97401

Officer/Director/Trustee Three

MARGIE ZERR
DIRECTOR
1720 CARMEL AVE
EUGENE OR 97401

Officer/Director/Trustee Four

MARY CARNEVALE
DIRECTOR, SECRETARY
3329 SAINT KITTS AVE
EUGENE OR 97408

Officer/Director/Trustee Five

MARIANNE BRIGHAM
DIRECTOR
2285 SANDY DR
EUGENE OR 97401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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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