FORM 1023-EZ for BENSON BRUINS JUNIOR FOOTBALL AND CHEER

Field Data
EIN 81-0979961
Case Number EO-2016012-000035
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENSON BRUINS JUNIOR FOOTBALL AND CHEER
Organization’s Mailing Address PO BOX 60241
City RENTON
State WA
ZIP 98058
Accounting period End 12
Primary contact name KIM TRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM TRAN
TREASURE
20230 127TH PL SE
KENT WA 98031

Officer/Director/Trustee Two

AGALELEI ELKINGTON
PRESIDENT
17848 156TH PLACE SE
RNTON WA 98058

Officer/Director/Trustee Three

RONALD BURROUGHS JR
VICE PRESIDENT
24308 185TH LOOP SE
COVINGTON WA 98042

Officer/Director/Trustee Four

JESSICA RASMUSSEN
SECRETARY
16101 119TH AVE SE
RENTON WA 98058

Officer/Director/Trustee Five

TROY RASMUSSEN
ATHLETIC DIRECTOR
16101 119TH AVE SE
RENTON WA 98058

Organization’s website
Organization’s email PRESIDENT@BRUINS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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
Signature Title
Signature Date

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