FORM 1023-EZ for FORT VANCOUVER BOOSTER CLUB

Field Data
EIN 46-4094110
Case Number EO-2014282-000406
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORT VANCOUVER BOOSTER CLUB
Organization’s Mailing Address 5700 E 18TH STREET
City VANCOUVER
State WA
ZIP 98661
Accounting period End 6
Primary contact name THOMAS W DELEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS DELEO
PRESIDENT
8415 NE 64TH CIRCLE
VANCOUVER WA 98662

Officer/Director/Trustee Two

JULIE DURST
SECRETARY
706 NW 77TH STREED
VANCOUVER WA 98665

Officer/Director/Trustee Three

ANNAMARIE HOOBLER
TREASURER
12305 NW 29TH COURT
VANCOUVER WA 98685

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2013
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: 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 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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