FORM 1023-EZ for KENTWOOD GIRLS SWIM AND DIVE BOOSTER CLUB

Field Data
EIN 84-2652401
Case Number EO-2020115-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENTWOOD GIRLS SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address 25938 160TH AVE SE
City COVINGTON
State WA
ZIP 98042
Accounting period End 6
Primary contact name JENNIFER JAMIESON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN WALLACE
PRESIDENT
25938 160TH AVE SE
COVINGTON WA 98042

Officer/Director/Trustee Two

LAURA GOLDSMITH
VICE PRESIDENT
25938 160TH AVE SE
COVINGTON WA 98042

Officer/Director/Trustee Three

JENNIFER JAMIESON
TREASURER
25938 160TH AVE SE
COVINGTON WA 98042

Officer/Director/Trustee Four

TRACY STAGGERS
SECRETARY
25938 160TH AVE SE
COVINGTON WA 98042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2019
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: 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER JAMIESON
Signature Title TREASURER
Signature Date 4/22/2020

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