FORM 1023-EZ for KALAMA YOUTH FOOTBALL

Field Data
EIN 82-5084856
Case Number EO-2018106-000431
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KALAMA YOUTH FOOTBALL
Organization’s Mailing Address P O BOX 2239
City KALAMA
State WA
ZIP 98625
Accounting period End 4
Primary contact name CARL LAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL LAWSON
PRESIDENT
PO BOX 2239
KALAMA WA 98625

Officer/Director/Trustee Two

NATHAN WILFONG
VICE PRESIDENT
PO BOX 1003
KALAMA WA 98625

Officer/Director/Trustee Three

TROY BRIGHTBILL
SECRETARY
897 CONFER ROAD
KALAMA WA 98625

Officer/Director/Trustee Four

JEREMY KUSHNER
TREASURER
1950 CLOVERDALE ROAD
KALAMA WA 98625

Officer/Director/Trustee Five

CARI LAWSON
CHEER COORDINATOR/ BOARD MEMBER
PO BOX 2239
KALAMA WA 98625

Organization’s website KALAMAYOUTHFOOTBALL.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/18
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: 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 CARL LAWSON
Signature Title PRESIDENT
Signature Date 4/10/18

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