FORM 1023-EZ for CPC ATHLETICS BOOSTER CLUB

Field Data
EIN 45-2411973
Case Number EO-2021232-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CPC ATHLETICS BOOSTER CLUB
Organization’s Mailing Address 16300 112TH AVE NE
City BOTHELL
State WA
ZIP 98011
Accounting period End 12
Primary contact name ADAM LYNCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM LYNCH
PRESIDENT
16300 112TH AVE NE
BOTHELL WA 98011

Officer/Director/Trustee Two

JOSHUA BOYCE
VICE PRESIDENT
16300 112TH AVE NE
BOTHELL WA 98011

Officer/Director/Trustee Three

COLETTE ROY
SECRETARY
16300 112TH AVE NE
BOTHELL WA 98011

Officer/Director/Trustee Four

TAD CORCORAN
TREASURER
16300 112TH AVE NE
BOTHELL WA 98011

Organization’s website WWW.CEDARPARKBOOSTER.ORG
Organization’s email BOARD@CEDARPARKBOOSTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2011
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 JOSHUA BOYCE
Signature Title VICE PRESIDENT
Signature Date 8/18/2021

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