FORM 1023-EZ for ROGUE ACTION CENTER

Field Data
EIN 82-3691229
Case Number EO-2018180-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROGUE ACTION CENTER
Organization’s Mailing Address 3932 S PACIFIC HWY
City MEDFORD
State OR
ZIP 97501-9012
Accounting period End 12
Primary contact name CHRISTINA MICHELLE GLASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH WESTOVER
BOARD CHAIR
204 2ND ST
PHOENIX OR 97535

Officer/Director/Trustee Two

HANNAH SOHL
BOARD TREASURER
283 SCENIC DRIVE
TALENT OR 97540

Officer/Director/Trustee Three

MARIO FREGOSO
BOARD SECRETARY
711 MEDFORD CENTER - 154
MEDFORD OR 97501

Officer/Director/Trustee Four

CHRISTINA MICHELLE GLASS
DIRECTOR
385 BLACKBERRY COURT
TALENT OR 97540

Officer/Director/Trustee Five

KRISTEN BROOKS
BOARD MEMBER
260 BEATTY STREET
MEDFORD OR 97501

Organization’s website WWW.ROGUEACTIONCENTER.ORG
Organization’s email CONTACT@ROGUEACTIONCENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/17
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 CHRISTINA MICHELLE GLASS
Signature Title DIRECTOR
Signature Date 6/27/18

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