FORM 1023-EZ for BRIDGETOWN ROLLER DERBY
| Field | Data |
|---|---|
| EIN | 81-0957552 |
| Case Number | EO-2016006-000239 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BRIDGETOWN ROLLER DERBY |
| Organization’s Mailing Address | PO BOX 820036 |
| City | PORTLAND |
| State | OR |
| ZIP | 97282 |
| Accounting period End | 12 |
| Primary contact name | ARTURO RIVERA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
CHAD SMOOT
PRESIDENT
2428 NE HANCOCK ST
PORTLAND OR 97212
Officer/Director/Trustee Two
FEDJA ZAHIROVIC
VICE PRESIDENT
3052 SE 109TH AVE
PORTLAND OR 97266
Officer/Director/Trustee Three
ARTURO RIVERA
TREASURER
1325 SE 17TH AVE APT 3
PORTLAND OR 97214
| Organization’s website | WWW.BRIDGETOWNROLLERDERBY.COM |
|---|---|
| Organization’s email | TREASURER@BRIDGETOWNROLLERDERBY.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/16/2015 |
| 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: No 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| 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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