FORM 1023-EZ for LYNDEN FASTPITCH BOOSTER CLUB

Field Data
EIN 35-2654296
Case Number EO-2019214-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYNDEN FASTPITCH BOOSTER CLUB
Organization’s Mailing Address PO BOX 949
City LYNDEN
State WA
ZIP 98264
Accounting period End 12
Primary contact name LESA STARKENBURG-KROONTJE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KASSI SIMONSEN
PRESIDENT
1410 FOXTRAIL STREET
LYNDEN WA 98264

Officer/Director/Trustee Two

TIFFANY ROTHWELL
TREASURER
8441 BERTHUSEN ROAD
LYNDEN WA 98264

Officer/Director/Trustee Three

DONNA SWENDT
DIRECTOR
1414 D STREET
LYNDEN WA 98264

Officer/Director/Trustee Four

STEVE GROEN
DIRECTOR
PO BOX 726
LYNDEN WA 98264

Officer/Director/Trustee Five

LORI HOLT
DIRECTOR
PO BOX 494
LYNDEN WA 98264

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/19
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: 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 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 KASSI SIMONSEN
Signature Title PRESIDENT
Signature Date 7/31/19

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