FORM 1023-EZ for FWPA BOOSTER CLUB

Field Data
EIN 82-2457659
Case Number EO-2017226-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FWPA BOOSTER CLUB
Organization’s Mailing Address 34620 9TH AVE S
City FEDERAL WAY
State WA
ZIP 98003
Accounting period End 10
Primary contact name KURT LAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT LAUER
DIRECTOR
4705 25TH AVE SW
SEATTLE WA 98106

Officer/Director/Trustee Two

PATRICIA HART
DIRECTOR
33818 35TH AVE SW
FEDERAL WAY WA 98023

Officer/Director/Trustee Three

MICHELLE DELORME
DIRECTOR
3604 SW 338TH PLACE
FEDERAL WAY WA 98023

Officer/Director/Trustee Four

YOLANDA PON
DIRECTOR
32621 11TH AVE SW
FEDERAL WAY WA 98023

Officer/Director/Trustee Five

MELISSA BEARD
DIRECTOR
4421 SOUTH 9TH STREET
TACOMA WA 98405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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