FORM 1023-EZ for WEST ALBANY YOUTH BASEBALL

Field Data
EIN 83-3214664
Case Number EO-2019095-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST ALBANY YOUTH BASEBALL
Organization’s Mailing Address PO BOX 117
City ALBANY
State OR
ZIP 97321
Accounting period End 12
Primary contact name CARL SCOTT LEBENGOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL SCOTT LEBENGOOD
PRESIDENT
375 PACIFIC BLVD SW SUITE A
ALBANY OR 97321

Officer/Director/Trustee Two

TIM FIEF
TREASURER
117 SE 1ST AVENUE
ALBANY OR 97321

Officer/Director/Trustee Three

RYAN QUIN
SECRETARY
140 NW QUARRY
ALBANY OR 97321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 CARL SCOTT LEBENGOOD
Signature Title PRESIDENT
Signature Date 4/3/19

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