FORM 1023-EZ for FC SEATTLE SIERRA LEONE

Field Data
EIN 47-4765214
Case Number EO-2016013-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FC SEATTLE SIERRA LEONE
Organization’s Mailing Address 1408 211TH PLACE SW
City LYNNWOOD
State WA
ZIP 98036
Accounting period End 12
Primary contact name REBECCA BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC BAKER
DIRECTOR, PRESIDENT
1408 211TH PL SW
LYNNWOOD WA 98036

Officer/Director/Trustee Two

REBECCA BAKER
DIRECTOR, SECRETARY
1408 211TH PL SW
LYNNWOOD WA 98036

Officer/Director/Trustee Three

LISA LAROSA
TREASURER
2317 N 134TH UNIT 5
SEATTLE WA 98133

Officer/Director/Trustee Four

JENNIFER SLOCUM
VICE PRESIDENT
3625 MERIDIAN AVE N
SEATTLE WA 98103

Organization’s website WWW.FCSEATTLESIERRALEONE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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