FORM 1023-EZ for HERITAGE FOOTBALL BOOSTERS CLUB

Field Data
EIN 30-0679646
Case Number EO-2015237-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERITAGE FOOTBALL BOOSTERS CLUB
Organization’s Mailing Address 15709 NE 93RD ST
City VANCOUVER
State WA
ZIP 98682
Accounting period End 12
Primary contact name BETHANY ZEPEDA TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELE LEE
PRESIDENT
15311 NE 84TH ST
VANCOUVER WA 98682

Officer/Director/Trustee Two

TINA VANBUSKIRK
VICE-PRESIDENT
8017 NE 86TH AVE
VANCOUVER WA 98662

Officer/Director/Trustee Three

NICOLE NEWTON
SECRETARY
7615 NE 144TH
VANCOUVER WA 98682

Officer/Director/Trustee Four

BETHANY ZEPEDA
TREASURER
15709 NE 93RD ST
VANCOUVER WA 98682

Organization’s website
Organization’s email TWOLVESFOOTBALL1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2011
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: Yes
Educational: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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