FORM 1023-EZ for LAKE STEVENS RIPTIDE SELECT BASEBALL PROGRAM
| Field | Data |
|---|---|
| EIN | 83-1990158 |
| Case Number | EO-2018296-000311 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LAKE STEVENS RIPTIDE SELECT BASEBALL PROGRAM |
| Organization’s Mailing Address | 4610 123RD AVE |
| City | LAKE STEVENS |
| State | WA |
| ZIP | 98258 |
| Accounting period End | 9 |
| Primary contact name | JAYA DEELENA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHARLES DEELENA
EXECUTIVE DIRECTOR, PRESIDENT
4610 123RD AVE NE
LAKE STEVENS WA 98258
Officer/Director/Trustee Two
KATE NICHOLS
FINANCE DIRECTOR, TREASURER
13530 28TH ST NE
LAKE STEVENS WA 98258
Officer/Director/Trustee Three
JAYA DEELENA
OPERTIONS DIRECTOR, SECRETARY
4610 123RD AVE NE
LAKE STEVENS WA 98258
Officer/Director/Trustee Four
CAMERON NICHOLS
ATHLETIC DIRECTOR
13530 28TH ST NE
LAKE STEVENS WA 98258
Officer/Director/Trustee Five
JAMES PERIN
COACHING DIRECTOR
4 N NYDEN FARMS ROAD
LAKE STEVENS WA 98258
| Organization’s website | HTTPS://LAKESTEVENSRIPTIDE.WEEBLY.COM/ |
|---|---|
| Organization’s email | LAKESTEVENSRIPTIDEBASEBALL@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/12/18 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N63 - Baseball, Softball |
| 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 | JAYA DEELENA |
| Signature Title | OPERTIONS DIRECTOR, SECRETARY |
| Signature Date | 10/19/18 |
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