FORM 1023-EZ for BRIDGE CITY SOCCER CLUB

Field Data
EIN 47-3526919
Case Number EO-2015093-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRIDGE CITY SOCCER CLUB
Organization’s Mailing Address 1641 SE 51ST AVE
City PORTLAND
State OR
ZIP 97215
Accounting period End 12
Primary contact name TAN NGUYEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAN NGUYEN
PRESIDENT
1641 SE 51ST AVE
PORTLAND OR 97215

Officer/Director/Trustee Two

JAMES OELLRICH
SECRETARY
6107 NE 22ND AVE
PORTLAND OR 97211

Officer/Director/Trustee Three

SEAN MAILEY
TREASURER
5617 NE 27TH AVE
PORTLAND OR 97211

Organization’s website WWW.BRIDGECITYSOCCER.ORG
Organization’s email INFO@BRIDGECITYSOCCER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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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