FORM 1023-EZ for JAGUAR BOOSTER CLUB

Field Data
EIN 82-1287569
Case Number EO-2017143-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAGUAR BOOSTER CLUB
Organization’s Mailing Address 3613 191ST PL SE
City BOTHELL
State WA
ZIP 98012
Accounting period End 12
Primary contact name CATHIE CARMICAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHIE CARMICAL
PRESIDENT
2318 STAFFORD WAY
BOTHELL WA 98012

Officer/Director/Trustee Two

MELISA CHARLTON
PRESIDENT
3205 198TH PL SE
BOTHELL WA 98012

Officer/Director/Trustee Three

ROXANA PALACIOS
CFO
4616 MALTBY RD
BOTHELL WA 98012

Officer/Director/Trustee Four

ALICIA GOFF
TREASURER
4826 196TH ST SE
BOTHELL WA 98013

Officer/Director/Trustee Five

MEGAN MADSEN
SECRETARY
3125 216 PL SE
BOTHELL WA 98021

Organization’s website HTTPS://JAGUARBOOSTERCLUB.ORG
Organization’s email INFO@JAGUARBOOSTERCLUB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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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