FORM 1023-EZ for BUSHWHACKER CLIMBING CLUB

Field Data
EIN 68-0578714
Case Number EO-2015356-000068
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUSHWHACKER CLIMBING CLUB
Organization’s Mailing Address 102 NW 73RD ST
City SEATTLE
State WA
ZIP 98117
Accounting period End 12
Primary contact name JOHN PATRICK SPENCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER DOXEY KEMP
PRESIDENT
102 NW 73RD ST
SEATTLE WA 98117

Officer/Director/Trustee Two

DAN SCHERER
TREASURER
19205 229TH AVE NW
WOODINVILLE WA 98077

Officer/Director/Trustee Three

BRANDON HARR
VICE PRESIDENT
4808 NE SUNSET BLVD H-103
RENTON WA 98059

Officer/Director/Trustee Four

LYNNE MANZO
SECRETARY
18828 DENSMORE AVE N
SHORELINE WA 98133

Officer/Director/Trustee Five

JOHN PATRICK SPENCER
DIRECTOR
4814 55TH AVE S
SEATTLE WA 98118

Organization’s website WWW.BUSHWHACKERCLIMBINGCLUB.ORG
Organization’s email BWCC_INFORMATION@GOOGLEGROUPS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2004
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
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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