FORM 1023-EZ for WESTSIDE ATHLETIC FOUNDATION

Field Data
EIN 46-0931898
Case Number EO-2014256-000086
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTSIDE ATHLETIC FOUNDATION
Organization’s Mailing Address 2548 NW ORDWAY AVE
City BEND
State OR
ZIP 97701
Accounting period End 12
Primary contact name ANGELINA MINGUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELINA MINGUS
PRESIDENT
2548N NW ORDWAY
BEND OR 97701

Officer/Director/Trustee Two

STACY HAGER
SECRETARY
2855 CLEARWATER DRIVE
BEND OR 97701

Officer/Director/Trustee Three

DREW BLEDSOE
AT LARGE MEMBER
4354 MACALPINE LOOP
BEND OR 97701

Officer/Director/Trustee Four

TAMMERA WATERMAN
TREASURER
61044 SNOWBERRY PLACE
BEND OR 97701

Officer/Director/Trustee Five

ROB DURFEE
VICE PRESIDENT
3219 PRAIRIE PLACE
BEND OR 97701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2012
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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