FORM 1023-EZ for ROCK STEADY BOXING PUGET SOUND INC

Field Data
EIN 82-1462650
Case Number EO-2017303-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCK STEADY BOXING PUGET SOUND INC
Organization’s Mailing Address 319 FALL CITY CARNATION RD NE
City CARNATION
State WA
ZIP 98014
Accounting period End 12
Primary contact name CAROL ROBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL ROBERTSON
PRESIDENT
319 FALL CITY CARNATION ROAD NE
CARNATION WA 98014

Officer/Director/Trustee Two

SUZANNE ANDERSON
SECRETARY
24455 NE 19TH STREET
REDMOND WA 98074

Officer/Director/Trustee Three

KAREN SMITH
TREASURER
15325 158TH AVENUE NE
WOODINVILLE WA 98072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 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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