FORM 1023-EZ for NW NITRO FASTPITCH

Field Data
EIN 81-3699152
Case Number EO-2016314-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NW NITRO FASTPITCH
Organization’s Mailing Address 735 PARKMEADOW LOOP NE
City KEIZER
State OR
ZIP 97303
Accounting period End 12
Primary contact name SARA M HEINZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARA HEINZ
DIRECTOR, PRESIDENT
735 PARKMEADOW LOOP NE
KEIZER OR 97303

Officer/Director/Trustee Two

MICHELLE EVANS
DIRECTOR, SECRETARY
33350 NE OLD PARRETT MTN RD
NEWBERG OR 97132

Officer/Director/Trustee Three

RICHARD WOLF
DIRECTOR
6265 ST LOUIS RD
GERVAIS OR 97026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 Yes
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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