FORM 1023-EZ for SOUTH SOUND ASSASSINS WOMENS RUGBYCLUB

Field Data
EIN 83-1454283
Case Number EO-2018318-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH SOUND ASSASSINS WOMENS RUGBYCLUB
Organization’s Mailing Address 510 SUMMIT LAKE SHORE ROAD NW
City OLYMPIA
State WA
ZIP 98502
Accounting period End 11
Primary contact name CASSIE BORDELON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSIE BORDELON
CHAIR
510 SUMMIT LAKE SHORE ROAD NW
OLYMPIA WA 98502

Officer/Director/Trustee Two

SHONI FUQUA
VICE CHAIR
510 SUMMIT LAKE SHORE ROAD NW
OLYMPIA WA 98502

Officer/Director/Trustee Three

ANGEL ATTEBERRY
SECRETARY
5221 KLAHANIE DRIVE NORTHWEST
OLYMPIA WA 98502

Organization’s website HTTPS://WWW.SOUTHSOUNDASSASSINS.COM
Organization’s email SOUTHSOUNDASSASSINS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 CASSIE BORDELON
Signature Title CHAIR
Signature Date 11/9/18
EIN 83-1454283
Case Number EO-2018318-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH SOUND ASSASSINS WOMENS RUGBY CLUB
Organization’s Mailing Address 510 SUMMIT LAKE SHORE ROAD NW
City OLYMPIA
State WA
ZIP 98502
Accounting period End 11
Primary contact name CASSIE BORDELON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSIE BORDELON
CHAIR
510 SUMMIT LAKE SHORE ROAD NW
OLYMPIA WA 98502

Officer/Director/Trustee Two

SHONI FUQUA
VICE CHAIR
510 SUMMIT LAKE SHORE ROAD NW
OLYMPIA WA 98502

Officer/Director/Trustee Three

ANGEL ATTEBERRY
SECRETARY
5221 KLAHANIE DRIVE NORTHWEST
OLYMPIA WA 98502

Organization’s website HTTPS://WWW.SOUTHSOUNDASSASSINS.COM
Organization’s email SOUTHSOUNDASSASSINS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 CASSIE BORDELON
Signature Title CHAIR
Signature Date 11/9/18

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