FORM 1023-EZ for UNION VOLLEYBALL BOOSTERS

Field Data
EIN 35-2339635
Case Number EO-2016285-000426
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNION VOLLEYBALL BOOSTERS
Organization’s Mailing Address 19215 SE 34TH STREET 106-149
City CAMAS
State WA
ZIP 98607
Accounting period End 12
Primary contact name DOUGLAS BIRCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUG BIRCH
PRESIDENT
19714 SE 7TH WAY
CAMAS WA 98607

Officer/Director/Trustee Two

JENNIFER BIRCH
VICE-PRESIDENT
19714 SE 7TH WAY
CAMAS WA 98607

Officer/Director/Trustee Three

MECCAH BOYNTON-BROWN
SECRETARY
18801 SE 11TH WAY
VANCOUVER WA 98683

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2008
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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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