FORM 1023-EZ for THE FALLEN OUTDOORS

Field Data
EIN 47-5284354
Case Number EO-2015299-000393
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE FALLEN OUTDOORS
Organization’s Mailing Address 8342 15TH AVE SE
City OLYMPIA
State WA
ZIP 98513
Accounting period End 12
Primary contact name JUSTIN CLAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC BAKKEN
PRESIDENT
385 JACKSON HWY S
TOLEDO WA 98519

Officer/Director/Trustee Two

BRANDEN TRAGER
TREASURER
20123 NE 174TH ST
BRUSH PRAIRIE WA 98606

Officer/Director/Trustee Three

TIM ADAMS
VICE PRESIDENT
472 CEDAR PARK DRIVE
PORT ANGELES WA 98362

Officer/Director/Trustee Four

JUSTIN CLAWSON
SECRETARY
8342 15TH AVE SE
OLYMPIA WA 98513

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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