FORM 1023-EZ for CAMAS ROBOTICS BOOSTER CLUB

Field Data
EIN 47-1580783
Case Number EO-2014272-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMAS ROBOTICS BOOSTER CLUB
Organization’s Mailing Address 19601 SE 37TH WAY
City CAMAS
State WA
ZIP 98607
Accounting period End 6
Primary contact name CHRIS BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRUCE WHITEFIELD
PRESIDENT
2129 HOOD ST
CAMAS WA 98607

Officer/Director/Trustee Two

CHRISTOPHER BELL
VICE PRESIDENT
19601 SE 37TH WAY
CAMAS WA 98607

Officer/Director/Trustee Three

DEA GUTHRIE
TREASURER
1145 NW 22ND AVE
CAMAS WA 98607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2014
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: No
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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