FORM 1023-EZ for S4 DBA STEVENS RACING

Field Data
EIN 30-1078145
Case Number EO-2019091-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name S4 DBA STEVENS RACING
Organization’s Mailing Address 1351 JONES ST
City SHELTON
State WA
ZIP 98584-1803
Accounting period End 12
Primary contact name TINA STEVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA STEVENS
MANAGING MEMBER
1351 JONES ST
SHELTON WA 98584-1803

Officer/Director/Trustee Two

BERT STEVENS
MEMBER
1351 JONES ST
SHELTON WA 98584-1803

Officer/Director/Trustee Three

SAMANTHA STEVENS
MEMBER
1351 JONES ST
SHELTON WA 98584-1803

Officer/Director/Trustee Four

JARED STEVENS
MEMBER
1351 JONES ST
SHELTON WA 98584-1803

Organization’s website
Organization’s email STEVENS-RACING@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
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: 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 Yes
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 TINA STEVENS
Signature Title MANAGING MEMBER
Signature Date 3/27/19

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