FORM 1023-EZ for I9 SPORTS ASSOCIATION - CHAPTER 426

Field Data
EIN 86-1422632
Case Number EO-2021078-000883
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I9 SPORTS ASSOCIATION - CHAPTER 426
Organization’s Mailing Address 351 OGLE PL NE
City NORTH BEND
State WA
ZIP 98045
Accounting period End 12
Primary contact name BROCK GAVERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROCK GAVERY
DIRECTOR
1752 NW MARKET ST STE 930
SEATTLE WA 98107-5128

Officer/Director/Trustee Two

MATTHEW SANDERS
PRESIDENT & DIRECTOR
351 OGLE PL NE
NORTH BEND WA 98045-8822

Officer/Director/Trustee Three

JENNIFER SANDERS
SECRETARY & DIRECTOR
351 OGLE PL NE
NORTH BEND WA 98045-8822

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2021
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: Yes
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 No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BROCK GAVERY
Signature Title DIRECTOR
Signature Date 1/21/2021

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