FORM 1023-EZ for IHS CREW BOOSTERS

Field Data
EIN 83-0749851
Case Number EO-2018171-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IHS CREW BOOSTERS
Organization’s Mailing Address 7828 NE 147TH STREET
City KENMORE
State WA
ZIP 98028
Accounting period End 12
Primary contact name KIM MEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM MEYER
CO-PRESIDENT
7828 NE 147TH STREET
KENMORE WA 98028

Officer/Director/Trustee Two

KELLY DEKAY
VICE PRESIDENT
15500 SIMONDS ROAD NE
KENMORE WA 98028

Officer/Director/Trustee Three

MONICA BROWNELL
SECRETARY
15500 SIMONDS ROAD NE
KENMORE WA 98028

Officer/Director/Trustee Four

KEN SMITH
CO-PRESIDENT
15500 SIMONDS ROAD NE
KENMORE WA 98028

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 KIM MEYER
Signature Title CO-PRESIDENT
Signature Date 6/6/18

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