FORM 1023-EZ for THURSTON COUNTY PICKLEBALL CLUB

Field Data
EIN 85-0681392
Case Number EO-2020104-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THURSTON COUNTY PICKLEBALL CLUB
Organization’s Mailing Address 8000 ZANGLE RD
City OLYMPIA
State WA
ZIP 98506
Accounting period End 12
Primary contact name JEFFREY PREVOST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY PREVOST
PRESIDENT
8000 ZANGLE RD NE
OLYMPIA WA 98506

Officer/Director/Trustee Two

ROBERT GORSKI JR
VICE-PRESIDENT
2015 LORRAINE DR SE
OLYMPIA WA 98501

Officer/Director/Trustee Three

SHARON CARRIER
TREASURER
6003 MARGO PLACE SE
TUMWATER WA 98501

Officer/Director/Trustee Four

KATHLEEN MCGOWAN
SECRETARY
4014 INDIAN SUMMER DRIVE SE
OLYMPIA WA 98513

Officer/Director/Trustee Five

MARCIA TOPP
DIRECTOR
2801 MURIEL CT SE
LACEY WA 98503

Organization’s website WWW.TCPCWA.COM
Organization’s email JPREVOST1@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, 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 JEFFREY PREVOST
Signature Title PRESIDENT
Signature Date 4/10/2020

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