FORM 1023-EZ for MI ROBOTICS BOOSTER CLUB
| Field | Data |
|---|---|
| EIN | 84-3702732 |
| Case Number | EO-2019340-000308 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MI ROBOTICS BOOSTER CLUB |
| Organization’s Mailing Address | 904 |
| City | MERCER ISLAND |
| State | WA |
| ZIP | 98040 |
| Accounting period End | 12 |
| Primary contact name | SUSAN KIM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TSERING YUTHOK SHORT
PRESIDENT
3040 78TH AVENUE SE BOX 904
MERCER ISLAND WA 98040
Officer/Director/Trustee Two
DAVID DSOUZA
VICE PRESIDENT
3040 78TH AVENUE SE BOX 904
MERCER ISLAND WA 98040
Officer/Director/Trustee Three
LESLIE MULLER
TREASURER
3040 78TH AVENUE SE BOX 904
MERCER ISLAND WA 98040
Officer/Director/Trustee Four
AMANDA VAN BLERKOM
SECRETARY
3040 78TH AVENUE SE BOX 904
MERCER ISLAND WA 98040
Officer/Director/Trustee Five
SAM MCKELVIE
CHIEF TECHNICAL OFFICER
3040 78TH AVENUE SE BOX 904
MERCER ISLAND WA 98040
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/16/2019 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B82 - Scholarships, Student Financial Aid Services, Awards |
| 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 | 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 | TSERING YUTHOK SHORT |
| Signature Title | PRESIDENT |
| Signature Date | 12/4/2019 |
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