FORM 1023-EZ for GLACIER PEAK VOLLEYBALL BOOSTER CLUB

Field Data
EIN 35-2673639
Case Number EO-2020270-000010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLACIER PEAK VOLLEYBALL BOOSTER CLUB
Organization’s Mailing Address 1523 132ND ST SE STE C 302
City EVERETT
State WA
ZIP 98208-7200
Accounting period End 12
Primary contact name DERIK STRATTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA HANSEN
PRESIDENT
4821 GLENHAVEN DRIVE
EVERETT WA 98208

Officer/Director/Trustee Two

JOANNE HUNTER
VICE PRESIDENT
15925 63RD DR SE
SNOHOMISH WA 98296

Officer/Director/Trustee Three

DERIK STRATTON
TREASURER
15814 67TH DR SE
SNOHOMISH WA 98296

Officer/Director/Trustee Four

CECILY SCOTT
SECRETARY
15830 60TH DRIVE SE
SNOHOMISH WA 98296

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2019
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: 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 DERIK STRATTON
Signature Title TREASURER
Signature Date 9/23/2020

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