FORM 1023-EZ for LAKE ROESIGER COMMUNITY AND BOAT CLUB

Field Data
EIN 91-6180107
Case Number EO-2016029-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE ROESIGER COMMUNITY AND BOAT CLUB
Organization’s Mailing Address 1115 S LAKE ROESIGER RD
City SNOHOMISH
State WA
ZIP 98290
Accounting period End 4
Primary contact name CINDY HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVE STEFFAN
PRESIDENT
304 239TH AVE NE
SNOHOMISH WA 98290

Officer/Director/Trustee Two

TONY MCAULIFFE
1ST VICE
PO BOX 1565
SNOHOMISH WA 98290

Officer/Director/Trustee Three

DAVID PUGH
2ND VICE
1221 SW LAKE ROESIGER RD
SNOHOMISH WA 98290

Officer/Director/Trustee Four

CINDY HOWARD
SECRETARY
1115 S LAKE ROESIGER RD
SNOHOMISH WA 98290

Organization’s website LAKEROESIGERCOMMUNITY.ORG
Organization’s email LKROESIGERCC@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/1975
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 No
One Third Support Gifts Yes
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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