FORM 1023-EZ for PENINSULA HOCKEY BOOSTER CLUB

Field Data
EIN 84-4962938
Case Number EO-2020198-000185
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PENINSULA HOCKEY BOOSTER CLUB
Organization’s Mailing Address 1223 DANIELS CT
City BREMERTON
State WA
ZIP 98312
Accounting period End 7
Primary contact name STEFANIE FERSCHKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEFANIE FERSCHKE
DIRECTOR
1223 DANIELS CT
BREMERTON WA 98312

Officer/Director/Trustee Two

ALEXIS MCKINNON
DIRECTOR
PO BOX 832
PORT ORCHARD WA 98366

Officer/Director/Trustee Three

BRYAN MCKINNON
DIRECTOR
PO BOX 832
PORT ORCHARD WA 98366

Officer/Director/Trustee Four

JEFF NEIL
DIRECTOR
341 NE OLD BELFAIR HWY
BELFAIR WA 98528

Officer/Director/Trustee Five

SCOTT STECHER
DIRECTOR
3809 WOLLOCHET DR
GIG HARBOR WA 98335

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 STEFANIE FERSCHKE
Signature Title DIRECTOR
Signature Date 7/13/2020

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