FORM 1023-EZ for PACIFIC HIGHWAY CHARGERS YOUTH ASSOCIATION

Field Data
EIN 46-1606289
Case Number EO-2014297-000636
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PACIFIC HIGHWAY CHARGERS YOUTH ASSOCIATION
Organization’s Mailing Address 3703 S EDMUNDS 170
City SEATTLE
State WA
ZIP 98118
Accounting period End 12
Primary contact name DONALD WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD WALLACE
PRESIDENT
3703 S EDMUNDS 170
SEATTLE WA 98118

Officer/Director/Trustee Two

ED DUMAS
VICE PRESIDENT
25410 16TH PL S
DES MOINES WA 98198

Organization’s website PACCHARGERSFOOTBALL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2012
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: No
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
Signature Title
Signature Date

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