FORM 1023-EZ for RISE BOOSTER CLUB

Field Data
EIN 84-3088417
Case Number EO-2019310-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISE BOOSTER CLUB
Organization’s Mailing Address 628 OAK STREET
City OAK HARBOR
State WA
ZIP 98277
Accounting period End 12
Primary contact name JANA WARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER STRONG
PRESIDENT
2398 ORIOLE ST
OAK HARBOR WA 98277

Officer/Director/Trustee Two

JANA WARNER
TREASURER
1699 SW ULYSSES ST
OAK HARBOR WA 98277

Officer/Director/Trustee Three

ASHLEY MITCHELL
SECRETARY
1235 RUSSELL DR
COUPEVILLE WA 98239

Officer/Director/Trustee Four

JENNIFER BURLINGTON
VICE PRESIDENT
1969 BUCKTHORN RD
OAK HARBOR WA 98277

Organization’s website
Organization’s email RISEBOOSTER1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 JANA WARNER
Signature Title TREASURER
Signature Date 11/4/19

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