FORM 1023-EZ for DEER PARK HS VOLLEYBALL BOOSTER

Field Data
EIN 84-2881473
Case Number EO-2019268-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEER PARK HS VOLLEYBALL BOOSTER
Organization’s Mailing Address 4784 W CASBERG BURROUGHS RD
City DEER PARK
State WA
ZIP 99006
Accounting period End 9
Primary contact name MICHELLE ENVOLSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE ENVOLSEN
PRESIDENT
4784 W CASBERG BURROUGHS RD
DEER PARK WA 99006

Officer/Director/Trustee Two

BONNIE IRWIN
TREASURER
38010 N GROVE RD
DEER PARK WA 99006

Officer/Director/Trustee Three

MIKKIE ROBISON
SECRETARY
4579 WOODLAND SHORES DR
LOON LAKE WA 99006

Officer/Director/Trustee Four

LINDSEY WESTERMAN
TREASURER
937 OASIS AVE
DEER PARK WA 99006

Organization’s website
Organization’s email DPHSVB99006@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 MICHELLE ENVOLSEN
Signature Title PRESIDENT
Signature Date 9/23/19

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