FORM 1023-EZ for MAPLE HILLS MARLINS SWIM TEAM

Field Data
EIN 91-1495946
Case Number EO-2016216-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAPLE HILLS MARLINS SWIM TEAM
Organization’s Mailing Address PO BOX 343
City ISSAQUAH
State WA
ZIP 98027
Accounting period End 12
Primary contact name LAURAE BRIGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SKROCH
CO-PRESIDENT
15018 205TH AVENUE SE
RENTON WA 98059-8922

Officer/Director/Trustee Two

JENNIFER DAVIES
VICE-PRESIDENT
23309 SE MAY VALLEY RD
ISSAQUAH WA 98027-5447

Officer/Director/Trustee Three

SHANNON LEUDTKE
TREASURER
15617 SE 143RD STREET
RENTON WA 98059

Officer/Director/Trustee Four

MARY NELSON
SECRETARY
15041 253RD AVE SE
ISSAQUAH WA 98027

Officer/Director/Trustee Five

LAURAE BRIGGS
MEMBER AT LARGE
13014 205TH PL SE
ISSAQUAH WA 98027

Organization’s website MARLINSGOFAST.COM
Organization’s email TREASURER.MAPLEHILLSMARLINS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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