FORM 1023-EZ for LUMBERJACKS BULLPEN CLUB

Field Data
EIN 81-2179189
Case Number EO-2016231-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUMBERJACKS BULLPEN CLUB
Organization’s Mailing Address 2903 NICHOLS BLVD
City LONGVIEW
State WA
ZIP 98632-2704
Accounting period End 6
Primary contact name TAMELA KEITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN REECE
PRESIDENT
1434 9TH AVE
LONGVIEW WA 98632-3810

Officer/Director/Trustee Two

TIFFANY KOTERA
VICE PRESIDENT
120 BRIDGEVIEW LANE
LONGVIEW WA 98632-6207

Officer/Director/Trustee Three

JENN WALLING
TREASURER
1915 LARSEN LANE SW
CASTLE ROCK WA 98611-9251

Officer/Director/Trustee Four

JOHN REEVES
SECRETARY
2 SWALLOW COURT
LONGVIEW WA 98632-9446

Officer/Director/Trustee Five

TAMELA KEITH
ADMINISTRATIVE ASSISTANT
340 BREEZEWAY DRIVE
LONGVIEW WA 98632-9360

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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
Signature Title
Signature Date

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