FORM 1023-EZ for CB VELOCITY FAST PITCH ASSOCIATION

Field Data
EIN 83-2904626
Case Number EO-2019042-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CB VELOCITY FAST PITCH ASSOCIATION
Organization’s Mailing Address 512 S TRILLIUM WAY
City MOSES LAKE
State WA
ZIP 98837
Accounting period End 12
Primary contact name CHRIS NEWHOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MICKELSON
PRESIDENT/TREASURER
512 S TRILLIUM WAY
MOSES LAKE WA 98837

Officer/Director/Trustee Two

AMY HARRIS
VICE PRESIDENT
10874 GRACE LANE NE
MOSES LAKE WA 98837

Officer/Director/Trustee Three

NIKKI MACK
SECRETARY
439 N WASHINGTON
MOSES LAKE WA 98837

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
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 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 MICHELLE MICKELSON
Signature Title PRESIDENT/TREASURER
Signature Date 2/7/19

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