FORM 1023-EZ for GLACIER PEAK HIGH SCHOOL GIRLS SWIMTEAM BOOSTER CLUB

Field Data
EIN 90-0849187
Case Number EO-2018135-000476
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLACIER PEAK HIGH SCHOOL GIRLS SWIMTEAM BOOSTER CLUB
Organization’s Mailing Address 13300 BOTHELL EVERETT HGWY 303-663
City BOTHELL
State WA
ZIP 98012
Accounting period End 6
Primary contact name JASON WEJAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON WEJAK
PRESIDENT
13300 BOTHELL EVERETT HGWY 303-663
BOTHELL WA 98012

Officer/Director/Trustee Two

KIM THURINGER
VICE PRESIDENT
13300 BOTHELL EVERETT HGWY 303-663
BOTHELL WA 98012

Officer/Director/Trustee Three

MICHAEL PELTIER
TREASURER
13300 BOTHELL EVERETT HGWY 303-663
BOTHELL WA 98012

Officer/Director/Trustee Four

ANNA JACOBSEN
SECRETARY
13300 BOTHELL EVERETT HGWY 303-663
BOTHELL WA 98012

Organization’s website
Organization’s email GPHSGIRLSSWIM@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/12
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 JASON WEJAK
Signature Title PRESIDENT
Signature Date 5/10/18

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