FORM 1023-EZ for DEDICATED ATHLETES IN YOUTH SPORTS

Field Data
EIN 81-3135141
Case Number EO-2016190-000705
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEDICATED ATHLETES IN YOUTH SPORTS
Organization’s Mailing Address 25716 175TH WAY SE
City COVINGTON
State WA
ZIP 98042
Accounting period End 12
Primary contact name JAMIE LAURENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES LAURENCE
DIRECTOR
25716 175TH WAY SE
COVINGTON WA 98042-8310

Officer/Director/Trustee Two

JAMIE LAURENCE
SECRETARY
25716 175TH WAY SE
COVINGTON WA 98042-8310

Officer/Director/Trustee Three

DAVE MCBROOM
VICE PRESIDENT
25416 167TH PL SE
COVINGTON WA 98042-5242

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 Yes
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
Signature Title
Signature Date

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