FORM 1023-EZ for OCTANE FASTPITCH

Field Data
EIN 82-4745291
Case Number EO-2019036-001093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OCTANE FASTPITCH
Organization’s Mailing Address 4720 N 6TH STREET
City RIDGEFIELD
State WA
ZIP 98642
Accounting period End 12
Primary contact name RYAN BUSHNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN BUSHNELL
PRESIDENT
4720 N 6TH ST
RIDGEFIELD WA 98642

Officer/Director/Trustee Two

JAMIE BUSHNELL
TREASURER
4720 N 6TH ST
RIDGEFIELD WA 98642

Organization’s website
Organization’s email OCTANEFASTPITCH@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/18
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: No
Religious: No
Educational: No
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 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 RYAN BUSHNELL
Signature Title PRESIDENT
Signature Date 1/22/19

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