FORM 1023-EZ for PATRIOT FOOTBALL FOUNDATION

Field Data
EIN 81-4336741
Case Number EO-2017067-000577
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PATRIOT FOOTBALL FOUNDATION
Organization’s Mailing Address PO BOX 2667
City RENTON
State WA
ZIP 98056
Accounting period End 12
Primary contact name NICOLLE ATCHISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRIS BROWN
PRESIDENT
18448 SE 133RD PLACE
RENTON WA 98059

Officer/Director/Trustee Two

NICOLLE ATCHISON
TREASURER
5526 NE 10TH ST
RENTON WA 98059

Officer/Director/Trustee Three

CHIP SUTTLES
VICE PRESIDENT
5507 NE 5TH CIRCLE
RENTON WA 98059

Officer/Director/Trustee Four

JULIE HICKS
SECRETARY
17640 SE 149TH ST
RENTON WA 98059

Officer/Director/Trustee Five

ROB HELLRIGEL
MEMBER AT LARGE
14133 E LAKE KATHLEEN DR SE
RENTON WA 98059

Organization’s website LIBERTYPATRIOTSFOOTBALL.COM
Organization’s email PATRIOTFOOTBALLFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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
Signature Title
Signature Date

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