FORM 1023-EZ for MOLALLA RIVER BMX

Field Data
EIN 82-1720379
Case Number EO-2021133-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOLALLA RIVER BMX
Organization’s Mailing Address 920 TOLIVER RD
City MOLALLA
State OR
ZIP 97038
Accounting period End 12
Primary contact name JENNIFER POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER POWELL
TREASURER
13755
MOLALLA OR 97038

Officer/Director/Trustee Two

MARTIN TRERISE
PRESIDENT
13755 S MOLALLA FOREST RD
MOLALLA OR 97038

Officer/Director/Trustee Three

JAMES THRASH
SECRETARY
13755 S MOLALLA FOREST RD
MOLALLA OR 97038

Officer/Director/Trustee Four

RYAN POWELL
TRACK OPERATOR
13755 S MOLALLA FOREST RD
MOLALLA OR 97038

Officer/Director/Trustee Five

RYAN OTTO
ASSISTANT TRACK OPERATOR
13755 S MOLALLA FOREST RD
MOLALLA OR 97038

Organization’s website WWW.MOLALLARIVERBMX.COM
Organization’s email MOLALLARIVERBMX@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2017
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 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 JENNIFER POWELL
Signature Title TREASURER
Signature Date 5/11/2021
EIN 82-1720379
Case Number EO-2017163-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOLALLA RIVER BMX
Organization’s Mailing Address PO BOX 636
City DONALD
State OR
ZIP 97020
Accounting period End 12
Primary contact name MIKE DAHLBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE DAHLBERG
PRESIDENT
513 CHESTER
SILVERTON OR 97381

Officer/Director/Trustee Two

KIM BURLESON
TREASURER
1061 WILLOW AVE
WOODBURN OR 97071

Officer/Director/Trustee Three

TRACY BUCHHOLZ
SECRETARY/CLERK
12958 FRONTIER PARKWAY
OREGON CITY OR 97045

Organization’s website WWW.MOLALLARIVERBMX.COM
Organization’s email MOLALLARIVERBMX@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2017
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 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
Signature Title
Signature Date

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