FORM 1023-EZ for MOUNT TAHOMA H S BOOSTER CLUB

Field Data
EIN 26-3415464
Case Number EO-2016328-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNT TAHOMA H S BOOSTER CLUB
Organization’s Mailing Address 4634 S 74TH ST
City TACOMA
State WA
ZIP 98409-1004
Accounting period End 6
Primary contact name ANITA CAVAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANITA CAVAR
PRESIDENT
502 EAST 91 ST
TACOMA WA 98445-5426

Officer/Director/Trustee Two

GAYLE ROSARIO
TREASURER
8315 SOUTH I
TACOMA WA 98404-4112

Officer/Director/Trustee Three

LISA BARBIER
SECRETARY
5936 S THOMSPON AVE
TACOMA WA 98408-4112

Organization’s website
Organization’s email ACAVAR@TACOMA.K12.WA.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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