FORM 1023-EZ for BETTER KIDS CLUB

Field Data
EIN 82-1104797
Case Number EO-2021076-000782
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETTER KIDS CLUB
Organization’s Mailing Address 1015 SE 4TH STREET
City ALBANY
State OR
ZIP 97321
Accounting period End 12
Primary contact name TROY VAUGHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY VAUGHAN
PRESIDENT
1015 SE 4TH STREET
ALBANY OR 97321

Officer/Director/Trustee Two

LACEY MATTHEWS - GARDNER
SECRETARY
PO BOX 2587
ALBANY OR 97321

Officer/Director/Trustee Three

CHRISSY PAN
TREASURER
PO BOX 2587
ALBANY OR 97321

Organization’s website BETTERKIDSCLUB.ORG
Organization’s email BETTERKIDSCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TROY VAUGHAN
Signature Title PRESIDENT
Signature Date 1/19/2021
EIN 82-1104797
Case Number EO-2018347-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETTER KIDS CLUB
Organization’s Mailing Address 1907 SE 34TH
City ALBANY
State OR
ZIP 97322-6083
Accounting period End 12
Primary contact name TROY VAUGHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY VAUGHAN
PRESIDENT
1907 34TH AVE SE
ALBANY OR 97322-6083

Officer/Director/Trustee Two

NICOLE MILES
VICE PRESIDENT
1430 MAIN ST
ALBANY OR 97322-6644

Officer/Director/Trustee Three

LACEY MATTHEWS
SECRETARY
235 21ST AVE SE G24
ALBANY OR 97322-1788

Officer/Director/Trustee Four

CHRISSY PAN
TREASURER
3054 FLAME TREE LN NW
ALBANY OR 93721-4102

Organization’s website
Organization’s email BETTERKIDSCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/17
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TROY VAUGHAN
Signature Title PRESIDENT
Signature Date 12/11/18

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