FORM 1023-EZ for KDE BOOSTER CLUB

Field Data
EIN 85-0703418
Case Number EO-2021063-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KDE BOOSTER CLUB
Organization’s Mailing Address 15318 CHAD DRIVE SE
City YELM
State WA
ZIP 98597
Accounting period End 6
Primary contact name MICHELLE STEPHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE STEPHAN
PRESIDENT/DIRECTOR
15318 CHAD DRIVE SE
YELM WA 98597

Officer/Director/Trustee Two

ALISSA CLARK
VICE-PRESIDENT/DIRECTOR
4818 CHURCHILL ROAD SE
TENINO WA 98589

Officer/Director/Trustee Three

LANORA SIGGELKOW
SECRETARY
35018 50TH AVENUE S
ROY WA 98580

Officer/Director/Trustee Four

DUSTIN STEPHAN
DIRECTOR
15318 CHAD DRIVE SE
YELM WA 98597

Officer/Director/Trustee Five

SHAYNA COHEN
TREASURER
12542 118TH AVENUE SE
RAINIER WA 98576

Organization’s website
Organization’s email KDEBOOSTERCLUB@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 Yes
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 MICHELLE STEPHAN
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/30/2020

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