FORM 1023-EZ for WASHINGTON STATE UNIVERSITY TEEN LEADERSHIP CLUB

Field Data
EIN 82-0660240
Case Number EO-2020206-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHINGTON STATE UNIVERSITY TEEN LEADERSHIP CLUB
Organization’s Mailing Address 406 N MAIN ST
City COUPEVILLE
State WA
ZIP 98239
Accounting period End 9
Primary contact name JANA S FERRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON GABELIEN
PRESIDENT
4959 SPINNAKER DR
FREELAND WA 98249-9743

Officer/Director/Trustee Two

DANIEL MCCARTY
TRUSTEE
406 N MAIN ST
COUPEVILLE WA 98239

Officer/Director/Trustee Three

JANA FERRIS
TRUSTEE
104 S ARTHUR STE 500
SPOKANE WA 99202

Organization’s website
Organization’s email DANIEL.MCCARTY@WSU.EDU
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2010
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANA FERRIS
Signature Title TRUSTEE
Signature Date 7/22/2020

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