FORM 1023-EZ for MADRAS ROD AND GUN CLUB

Field Data
EIN 83-2889801
Case Number EO-2019030-001032
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADRAS ROD AND GUN CLUB
Organization’s Mailing Address 2353 NW CLACKAMAS DRIVE
City MADRAS
State OR
ZIP 97741
Accounting period End 12
Primary contact name CAROL TOLLEFSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM BOLTON
PRESIDENT/DIRECTOR
734 SW COLFAX LANE
MADRAS OR 97741

Officer/Director/Trustee Two

RAYMOND WINEGAR
VICE PRESIDENT/DIRECTOR
1135 NE HILLTOP LANE
MADRAS OR 97741

Officer/Director/Trustee Three

CAROL TOLLEFSON
SECRETARY/TREASURER/DIRECTOR
471 SE 9TH STREET
MADRAS OR 97741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 WILLIAM BOLTON
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/30/18

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