FORM 1023-EZ for WEST EUGENE BOXING ACADEMY
| Field | Data |
|---|---|
| EIN | 82-4189845 |
| Case Number | EO-2018031-000261 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WEST EUGENE BOXING ACADEMY |
| Organization’s Mailing Address | 1339 RUTLEDGE STREET |
| City | EUGENE |
| State | OR |
| ZIP | 97402 |
| Accounting period End | 12 |
| Primary contact name | RORY BAARSTAD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RORY BAARSTAD
EXECUTIVE DIRECTOR
1339 RUTLEDGE STREET
EUGENE OR 97402
Officer/Director/Trustee Two
MYRON JOHNSON
SECRETARY
1339 RUTLEDGE STREET
EUGENE OR 97402
Officer/Director/Trustee Three
CHARLOTTE BAARSTAD
TREASURER
1339 RUTLEDGE STREET
EUGENE OR 97402
| Organization’s website | |
|---|---|
| Organization’s email | rorybaarstad@gmail.com |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/29/18 |
| 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: 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 | RORY BAARSTAD |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 1/29/18 |
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