FORM 1023-EZ for BOMBERS SPORTS CLUB

Field Data
EIN 84-4487449
Case Number EO-2020058-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOMBERS SPORTS CLUB
Organization’s Mailing Address 11805 NE 75TH ST
City KIRKLAND
State WA
ZIP 98033
Accounting period End 12
Primary contact name JIM JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM JOHNSON
DIRECTOR
11805 NE 75TH ST
KIRKLAND WA 98033

Officer/Director/Trustee Two

GARY HARTNETT
OFFICER
5901 105TH AVE NE
KIRKLAND WA 98033

Officer/Director/Trustee Three

JAMES JESKE
OFFICER
5500 HARBOUR POINTE BLVD
MUKILTEO WA 98275

Organization’s website HTTPS://WWW.INSTAGRAM.COM/BOMBERSBASEBALLWA/
Organization’s email JJ@FORMRENTALS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 JIM JOHNSON
Signature Title DIRECTOR
Signature Date 2/25/2020

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