FORM 1023-EZ for COLTON MAT CLUB

Field Data
EIN 93-1246456
Case Number EO-2017257-000070
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLTON MAT CLUB
Organization’s Mailing Address PO BOX 116
City COLTON
State OR
ZIP 97017
Accounting period End 12
Primary contact name NATASHA KILMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN MOORE
PRESIDENT
19550 S GREEN MOUNTAIN RD
COLTON OR 97007

Officer/Director/Trustee Two

STEPHANIE BONFIELD
SECRETARY
28299 S SHIBLEY RD
COLTON OR 97017

Officer/Director/Trustee Three

NATASHA KILMAN
TREASURER
29999 S WINSLOW RD
MOLALLA OR 97038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/1999
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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