FORM 1023-EZ for PUYALLUP VALLEY LACROSSE CLUB

Field Data
EIN 82-4809719
Case Number EO-2018096-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUYALLUP VALLEY LACROSSE CLUB
Organization’s Mailing Address 8902 29TH STREET COURT EAST
City EDGEWOOD
State WA
ZIP 98371
Accounting period End 12
Primary contact name ANGELA REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS CLARK
PRESIDENT
2109 5TH AVE NW
PUYALLUP WA 98371

Officer/Director/Trustee Two

JANEEN WILCOX
VICE PRESIDENT
6211 91ST ST E
PUYALLUP WA 98371

Officer/Director/Trustee Three

HOLLY SUTTON
SECRETARY
7610 89TH ST CT E
PUYALLUP WA 98371

Officer/Director/Trustee Four

KAREN RILEY
TREASURER
5602 79TH ST E
PUYALUP WA 98371

Officer/Director/Trustee Five

ANGELA REED
BOARD MEMBER
8902 29TH ST CT E
EDGEWOOD WA 98371

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 ANGELA REED
Signature Title BOARD MEMBER
Signature Date 4/3/18

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