FORM 1023-EZ for MEADOWDALE JUNIOR FOOTBALL

Field Data
EIN 82-4882835
Case Number EO-2018184-000057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEADOWDALE JUNIOR FOOTBALL
Organization’s Mailing Address 145 THIRD AVENUE SOUTH
City EDMONDS
State WA
ZIP 98020
Accounting period End 12
Primary contact name DAVID TINGSTAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAUNCEY GANTT
PRESIDENT AND DIRECTOR
145 THIRD AVE S
EDMONDS WA 98020

Officer/Director/Trustee Two

MATT LEONARD
DIRECTOR
145 THIRD AVE S
EDMONDS WA 98020

Officer/Director/Trustee Three

DAVID TINGSTAD
SECRETARY AND DIRECTOR
145 THIRD AVE S
EDMONDS WA 98020

Officer/Director/Trustee Four

TRACY MOEN
TREASURER AND DIRECTOR
145 THIRD AVE S
EDMONDS WA 98020

Officer/Director/Trustee Five

LEIGH ROBERTS
DIRECTOR
145 THIRD AVE S
EDMONDS WA 98020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID TINGSTAD
Signature Title SECRETARY AND DIRECTOR
Signature Date 6/29/18

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