FORM 1023-EZ for EMERALD EMPIRE SPORTS PARK DEVELOPMENT FOUNDATION

Field Data
EIN 83-2786979
Case Number EO-2019233-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMERALD EMPIRE SPORTS PARK DEVELOPMENT FOUNDATION
Organization’s Mailing Address 885 SUNDANCE ST
City EUGENE
State OR
ZIP 97405
Accounting period End 12
Primary contact name JAMES MUELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT JACOBSON
DIRECTOR
PO BOX 959
SPRINGFIELD OR 97477

Officer/Director/Trustee Two

LICIA SHULTZ
DIRECTOR
PO BOX 589
MARCOLA OR 97454

Officer/Director/Trustee Three

HOPE MUELLER
DIRECTOR
PO BOX 925
MARCOLA OR 97454

Officer/Director/Trustee Four

BRENDA WAMSLEY
DIRECTOR
1425 AMBERLAND
EUGENE OR 97401

Officer/Director/Trustee Five

JAMES MUELLER
DIRECTOR
885 SUNDANCE ST
EUGENE OR 97405

Organization’s website
Organization’s email JZDUKY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 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 JAMES MUELLER
Signature Title DIRECTOR
Signature Date 8/19/19

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