FORM 1023-EZ for RHS TRACK FIELD BOOSTER CLUB

Field Data
EIN 46-1813812
Case Number EO-2018031-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RHS TRACK FIELD BOOSTER CLUB
Organization’s Mailing Address 19640 NE 90TH PL
City REDMOND
State WA
ZIP 98053
Accounting period End 12
Primary contact name BETH HOSIER-NICKUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEN MUSCOTT
CO-PRESIDENT
15208 NE 110TH PL
REDMOND WA 98052

Officer/Director/Trustee Two

BETSY TOPAZ
CO-PRESIDENT
17128 NE 120TH ST
REDMOND WA 98052

Officer/Director/Trustee Three

TODD MASON
VICE PRESIDENT
16633 NE 118TH WAY
REDMOND WA 98052

Officer/Director/Trustee Four

GREG NICKUM
TREASURER
19640 NE 90TH PL
REDMOND WA 98053

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 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 GREG NICKUM
Signature Title TREASURER
Signature Date 1/29/18

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