FORM 1023-EZ for MOSES LAKE SPARK VBC

Field Data
EIN 82-5071446
Case Number EO-2018262-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSES LAKE SPARK VBC
Organization’s Mailing Address 1403 HUSKY DR
City MOSES LAKE
State WA
ZIP 98837
Accounting period End 12
Primary contact name JOSHUA SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA SHELTON
DIRECTOR/PRESIDENT
1403 HUSKY DR
MOSES LAKE WA 98837

Officer/Director/Trustee Two

CARLA CHRISTIE
TREASURER
1403 HUSKY DR
MOSES LAKE WA 98837

Officer/Director/Trustee Three

JENNIFER GERING
CLUB LIASON OFFICER/DIRECTOR
9357 BENJAMIN WY SE
MOSES LAKE WA 98837

Officer/Director/Trustee Four

KRYSTAL TRAMMELL
BOARD MEMBER ONE/DIRECTOR
9357 BENJAMIN WY SE
MOSES LAKE WA 98837

Officer/Director/Trustee Five

DENNIS TREAT
BOARD MEMBER TWO/DIRECTOR
PO BOX 687
WARDEN WA 98857

Organization’s website
Organization’s email MLSPARKVOLLEYBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 JOSHUA SHELTON
Signature Title DIRECTOR/PRESIDENT
Signature Date 9/17/18

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