FORM 1023-EZ for TROOP20 LOESA1

Field Data
EIN 83-3928850
Case Number EO-2019197-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TROOP20 LOESA1
Organization’s Mailing Address 12625 11TH DR SE
City EVERETT
State WA
ZIP 98208
Accounting period End 12
Primary contact name NICKI GORSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BOB DUNBAR
PRESIDENT
4218 114TH PL SE
EVERETT WA 98208

Officer/Director/Trustee Two

DAVID NASH
VICE PRESIDENT
9722 28TH DR SE
EVERETT WA 98208

Officer/Director/Trustee Three

CHARLES RINCON
SECRETARY
9118 7TH AVE SE
EVERETT WA 98208

Officer/Director/Trustee Four

KATHLEEN NICKI GORSKI
TREASURER
12625 11TH DR SE
EVERETT WA 98208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O41 - Boy Scouts of America
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 No
Correctness Declaration Yes
Signature Name KATHLEEN NICKI GORSKI
Signature Title TREASURER
Signature Date 7/14/19

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