FORM 1023-EZ for HOLY REDEEMER SOCCER CLUB

Field Data
EIN 81-2337400
Case Number EO-2016152-000102
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLY REDEEMER SOCCER CLUB
Organization’s Mailing Address PO BOX 11293
City PORTLAND
State OR
ZIP 97211
Accounting period End 12
Primary contact name CARIE FOLZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARIE FOLZ
VOLUNTEER-FINANCIAL
6325 NORTH ALBINA AVENUE
PORTLAND OR 97217

Officer/Director/Trustee Two

UYEN NGUYEN
VOLUNTEER-GEAR
6642 NORTH DELAWARE AVENUE
PORTLAND OR 97217

Officer/Director/Trustee Three

ANTHONY BELL
VOLUNTEER VICE PRESIDENT
9929 NORTH EAST SKIDMORE STREET
PORTLAND OR 97220

Officer/Director/Trustee Four

STEPHANIE EGBERS-MEYERS
VOLUNTEER REGISTRAR
5826 NORTH EAST 28TH AVENUE
PORTLAND OR 97211

Organization’s website HOLYREDEEMERSOCCER.COM
Organization’s email HOLYREDEEMERSOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
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 Yes
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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