FORM 1023-EZ for SLACKLINE US

Field Data
EIN 47-3546503
Case Number EO-2015273-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SLACKLINE US
Organization’s Mailing Address 206 RAILROAD AVE
City SUNBURST
State MT
ZIP 59482
Accounting period End 12
Primary contact name HAYLEY PERCY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SONYA IVERSON
PRESIDENT/BOARD OF DIRECTORS
206 RAILROAD DR
SUNBURST MT 59482

Officer/Director/Trustee Two

BEN PLOTKIN-SWING
VICE PRESIDENT/BOARD OF DIRECTORS
5219 KENSINGTON PLACE
SEATTLE WA 98103

Officer/Director/Trustee Three

TIM ROSS
TREASURER/ BOARD OF DIRECTORS
710 BELLA VISTA DR
MORRO BAY CA 93442

Officer/Director/Trustee Four

SARA KAISER
SECRETARY/ BOARD OF DIRECTORS
111 AUBURN AVE
SANTA CRUZ CA 95060

Officer/Director/Trustee Five

HAYLEY PERCY
BOARD OF DIRECTORS
5609 ROUNDTREE PL
WESTLAKE VILLAGE CA 91362

Organization’s website SLACKLINE.US
Organization’s email SONYA@SLACKLINK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 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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