FORM 1023-EZ for MARYSVILLE-TULALIP PICKLEBALL CLUB

Field Data
EIN 83-1556683
Case Number EO-2020108-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARYSVILLE-TULALIP PICKLEBALL CLUB
Organization’s Mailing Address 5710 138TH PL NE
City MARYSVILLE
State WA
ZIP 98271
Accounting period End 12
Primary contact name THOMAS LAMOUREUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS LAMOUREUX
PRESIDENT
5710 138TH PL NE
MARYSVILLE WA 98271

Officer/Director/Trustee Two

KATHY PILAND
TREASURER
5710 138TH PL NE
MARYSVILLE WA 98271

Officer/Director/Trustee Three

JEFFREY DIX
SECRETARY
5710 138TH PL NE
MARYSVILLE WA 98271

Officer/Director/Trustee Four

DOUG SHAFER
VICE PRESIDENT
8206 WAYNE AVE
STANWOOD WA 98292

Officer/Director/Trustee Five

PABLO GRANADOS
DIRECTOR
3106 117TH AVE NE LK
STEVENS WA 98258

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
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: Yes
Religious: No
Educational: No
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 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 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 THOMAS LAMOUREUX
Signature Title PRESIDENT
Signature Date 4/15/2020

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