FORM 1023-EZ for BASIN TENNIS CLUB

Field Data
EIN 47-1640564
Case Number EO-2014240-000501
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BASIN TENNIS CLUB
Organization’s Mailing Address PO BOX 191
City MOSES LAKE
State WA
ZIP 98837
Accounting period End 12
Primary contact name CHRISTOPHER RIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD GREGOIRE
DIRECTOR
3308 WEST SHORE DRIVE NE
MOSES LAKE WA 98837

Officer/Director/Trustee Two

RICHARD TEALS
DIRECTOR
311 WEST NORTHSHORE DR
MOSES LAKE WA 98837

Officer/Director/Trustee Three

JON ANDERSON
DIRECTOR
813 SOUTH CAMAS PLACE
MOSES LAKE WA 98837

Officer/Director/Trustee Four

STACY RIPPY
DIRECTOR
821 W WINDROSE DRIVE
MOSES LAKE WA 98837

Officer/Director/Trustee Five

JON VALENCIA
DIRECTOR
PO BOX 1721
MOSES LAKE WA 98837

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports 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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