FORM 1023-EZ for BASIN GYM BOOSTER CLUB

Field Data
EIN 46-2769046
Case Number EO-2020013-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BASIN GYM BOOSTER CLUB
Organization’s Mailing Address PO BOX 2312
City MOSES LAKE
State WA
ZIP 98837
Accounting period End 12
Primary contact name JENNIFER ROYBAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE KIM-KNAPP
PRESIDENT
7498 ROAD K7 NE
MOSES LAKE WA 98837

Officer/Director/Trustee Two

KIMBERLY MAIERS
VICE-PRESIDENT
8768 DUNE LAKE RD
MOSES LAKE WA 98837

Officer/Director/Trustee Three

JENNIFER ROYBAL
TREASURER
4956 SHORECREST DR NE
MOSES LAKE WA 98837

Officer/Director/Trustee Four

KIMBERLEE TRAUTMAN
SECRETARY
10771 RD 7 NE
MOSES LAKE WA 98837

Organization’s website
Organization’s email BASINGYMBOOSTERS@AIMGYMNASTICS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER ROYBAL
Signature Title TREASURER
Signature Date 1/10/2020

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