FORM 1023-EZ for NORTH KITSAP MOUNTAIN VIKES

Field Data
EIN 37-1957655
Case Number EO-2019354-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH KITSAP MOUNTAIN VIKES
Organization’s Mailing Address PO BOX 2342
City POULSBO
State WA
ZIP 98370
Accounting period End 12
Primary contact name ALEXANDER MAGALLON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEW HENSLEY
PRESIDENT
19628 MORAJEAN LN NW
POULSBO WA 98370

Officer/Director/Trustee Two

JUNE HENSLEY
VICE PRESIDENT
19628 MORAJEAN LN NW
POULSBO WA 98370

Officer/Director/Trustee Three

MARY TANNER
TREASURER
PO BOX 2342
POULSBO WA 98370

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2018
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 MARY TANNER
Signature Title TREASURER
Signature Date 12/18/2019

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