FORM 1023-EZ for MADISON ALUMNI ASSOCIATION

Field Data
EIN 38-4115963
Case Number EO-2019144-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADISON ALUMNI ASSOCIATION
Organization’s Mailing Address 825 BELMONT ST NE
City SALEM
State OR
ZIP 97301
Accounting period End 12
Primary contact name HOWARD COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOWARD COLLINS
SECRETARY
825 BELMONT ST NE
SALEM OR 97301

Officer/Director/Trustee Two

JEFFREY ERDMAN
PRESIDENT
11933 SE MASA LN
HAPPY VALLEY OR 97086

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HOWARD COLLINS
Signature Title SECRETARY
Signature Date 5/22/19

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