FORM 1023-EZ for LANCER HOOPS BOOSTER CLUB

Field Data
EIN 46-0686264
Case Number EO-2015246-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANCER HOOPS BOOSTER CLUB
Organization’s Mailing Address 3803 BRIDGEPORT WAY WEST STE B
City UNIVERSITY PLACE
State WA
ZIP 98466
Accounting period End 12
Primary contact name JAMES HARTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES HARTLEY
PRESIDENT
1110 124TH ST CT E
TACOMA WA 98466

Officer/Director/Trustee Two

DAVE GRISAFFI
VICE PRESIDENT
3803 BRIDGEPORT WAY WEST
UNIVERSITY PLACE WA 98466

Officer/Director/Trustee Three

HELENE JENSEN
SECRETARY/TREASURER
5622 ACADEMY TERRACE LANE
UNIVERSITY PLACE WA 98466

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2012
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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