FORM 1023-EZ for COLUMBIA BASIN YOUTH SOCCER ASSOCIATION
| Field | Data |
|---|---|
| EIN | 81-3503347 |
| Case Number | EO-2016231-000236 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COLUMBIA BASIN YOUTH SOCCER ASSOCIATION |
| Organization’s Mailing Address | PO BOX 922 |
| City | EPHRATA |
| State | WA |
| ZIP | 98823 |
| Accounting period End | 12 |
| Primary contact name | TESSA HART JARA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TESSA HART JARA
BOARD SECRETARY
116 E HILL AVE APT 9
MOSES LAKE WA 98837
Officer/Director/Trustee Two
MARCIA NESS
TREASURER
712 2ND AVE NE
EPHRATA WA 98823
Officer/Director/Trustee Three
ADRIANNE DOOLITTLE
REGISTRAR
16869 FREY RD
EPHRATA WA 98823
Officer/Director/Trustee Four
MIKE SCHMUCK
DIRECTOR OF DEVELOPMENT
4061 SAGEBRUSH FLATS
EPHRATA WA 98823
Officer/Director/Trustee Five
DANIEL HEENEY
DIRECTOR OF REFEREES
125 ERNST PLACE
MOSES LAKE WA 98837
| Organization’s website | WWW.CBSOCCER.COM |
|---|---|
| Organization’s email | COLUMBIABASINSOCCER@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/5/2016 |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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