FORM 1023-EZ for DAYTON PIRATE BOOSTER CLUB

Field Data
EIN 30-0996898
Case Number EO-2018033-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAYTON PIRATE BOOSTER CLUB
Organization’s Mailing Address 801 FERRY STREET
City DAYTON
State OR
ZIP 97114
Accounting period End 12
Primary contact name REBA STOLLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBA STOLLER
PRESIDENT
4101 NE HENRY CREEK ROAD
DAYTON OR 97114

Officer/Director/Trustee Two

MEGAN SHIRLEY
VICE PRESIDENT
568 E 13TH PLACE
LAFAYETTE OR 97127

Officer/Director/Trustee Three

LUCY ARGUELLO
SECRETARY
PO BOX 290
DAYTON OR 97114

Officer/Director/Trustee Four

TIFFANY ASHLEY
TREASURER
14785 SE FOSTER ROAD
DAYTON OR 97114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/17
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 Yes
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 REBA STOLLER
Signature Title PRESIDENT
Signature Date 1/31/18

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