FORM 1023-EZ for QUEENS OF DIRT

Field Data
EIN 81-1019197
Case Number EO-2018022-000051
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUEENS OF DIRT
Organization’s Mailing Address 3321 E BLACKBURN RD
City MT VERNON
State WA
ZIP 98274
Accounting period End 12
Primary contact name KIRSTEN JENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SABRINA HENDRICK
TREASURER
4032 WILLOWBROOK LANE
BELLINGHAM WA 98229

Officer/Director/Trustee Two

KIVIAT LEAH
VICE PRESIDENT
3321 E BLACKBURN RD
MT. VERNON WA 98273

Officer/Director/Trustee Three

INDRUNAS ALYSON
SECRETARY
1709 VALHALLA LANE UNIT A
BELLINGHAM WA 98226

Officer/Director/Trustee Four

CHEEVER CORINA
BOARD AT LARGE
925 E ORCHARD DRIVE
BELLINGHAM WA 98226

Officer/Director/Trustee Five

KIRSTEN JENSEN
DIRECTOR
3608 FRASER STREET
BELLINGHAM WA 98229

Organization’s website WWW.QUEENSOFDIRT.COM
Organization’s email KIRSTEN.JENSEN13@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/17
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 KIRSTEN JENSEN
Signature Title DIRECTOR
Signature Date 1/18/18

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