FORM 1023-EZ for NORTH CREEK HIGH SCHOOL PTSA

Field Data
EIN 82-1072897
Case Number EO-2018337-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH CREEK HIGH SCHOOL PTSA
Organization’s Mailing Address 3613 191ST PLACE SE
City BOTHELL
State WA
ZIP 98021
Accounting period End 6
Primary contact name TRACY GOODWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY GOODWIN
PRESIDENT
3613 191ST PLACE SE
BOTHELL WA 98021

Officer/Director/Trustee Two

AARON CAVIN
VICE PRESIDENT
3613 191ST PLACE SE
BOTHELL WA 98012

Officer/Director/Trustee Three

JANA REITMEIRER
TREASURER
3613 191ST PLACE SE
BOTHELL WA 98012

Officer/Director/Trustee Four

PATTY WARD
SECRETARY
3613 191ST PLACE SE
BOTHELL WA 98012

Organization’s website WWW.NORTHCREEKPTSA.ORG
Organization’s email JAGUARS@NORTHCREEKPTSA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/17
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 Yes
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 Yes
Disaster relief assistance Yes
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 TRACY GOODWIN
Signature Title PRESIDENT
Signature Date 11/29/18

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