FORM 1023-EZ for PIERCE COUNTY SOCCER CLUB

Field Data
EIN 47-4111532
Case Number EO-2015149-000454
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIERCE COUNTY SOCCER CLUB
Organization’s Mailing Address 1231 N YAKIMA AVE
City TACOMA
State WA
ZIP 98403
Accounting period End 12
Primary contact name MICHAEL SWENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL SWENSON
DIRECTOR
1231 N YAKIMA AVE
TACOMA WA 98403

Officer/Director/Trustee Two

JAMES CANTRELL
DIRECTOR
3355 SE CONDOR LN
PORT ORCHARD WA 98366

Officer/Director/Trustee Three

ALEX HORNBECK
DIRECTOR
PO BOX 7971
TACOMA WA 98417

Officer/Director/Trustee Four

BENNETT FORS
DIRECTOR
2814 N MASON
TACOMA WA 98407

Organization’s website
Organization’s email BAYCRUISER1@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
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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