FORM 1023-EZ for PORTLAND VIKINGS CRICKET CLUB

Field Data
EIN 46-5129311
Case Number EO-2016300-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PORTLAND VIKINGS CRICKET CLUB
Organization’s Mailing Address 10 SW 131ST AVE
City BEAVERTON
State OR
ZIP 97005
Accounting period End 12
Primary contact name SYED QASIMUDDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYED QASIMUDDIN
PRESIDENT
10 SW 131ST AVE
BEAVERTON OR 97005

Officer/Director/Trustee Two

SUJIT KONDAVEETI
SECRETARY
15996 NW BRUGGER ROAD
PORTLAND OR 97229

Officer/Director/Trustee Three

SAI PRASHANT MUTTAVARAPU
SECRETARY
1110 NE 63RD WAY APT 2010
HILLSBORO OR 97124

Organization’s website WWW.PORTLANDCRICKET.COM
Organization’s email PORTLANDVIKINGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
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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