FORM 1023-EZ for UNIVERSITY PLACE JUNIOR VIKINGS WRESTLING CLUB

Field Data
EIN 84-4847184
Case Number EO-2020062-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIVERSITY PLACE JUNIOR VIKINGS WRESTLING CLUB
Organization’s Mailing Address 3800 BRIDGEPORT WAY W STE A MB 553
City UNIVERSITY PLACE
State WA
ZIP 98466-4495
Accounting period End 12
Primary contact name NATHAN BITTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN BITTNER
PRESIDENT
3418 TAHOMA PLACE WEST
UNIVERSITY PLACE WA 98466-1642

Officer/Director/Trustee Two

CASEY YACAPIN
TREASURER
7724 CIRQUE DRIVE WEST
UNIVERSITY PLACE WA 98467

Officer/Director/Trustee Three

LINDA PELTOMAA
SECRETARY
8926 COLGATE DRIVE WEST
UNIVERSITY PLACE WA 98466

Officer/Director/Trustee Four

ANUHEA DALEY
AT LARGE BOARD MEMBER
1001 PANORAMA COURT
FIRCREST WA 98466

Officer/Director/Trustee Five

JEFF KLEIN
AT LARGE BOARD MEMBER
921 EAST 57TH STREET
TACOMA WA 98404

Organization’s website N/A
Organization’s email UPVIKINGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2020
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: 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 NATHAN BITTNER
Signature Title PRESIDENT
Signature Date 2/27/2020

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