FORM 1023-EZ for PUGET SOUND OUTCAST DERBY
| Field | Data |
|---|---|
| EIN | 45-2729441 |
| Case Number | EO-2015012-000300 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PUGET SOUND OUTCAST DERBY |
| Organization’s Mailing Address | 507 NORTH ATE WAY UNIT 442 |
| City | SEATTLE |
| State | WA |
| ZIP | 98125 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL COLELLA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KEITH JEWELL
PRESIDENT
1104 LYBARGER ST NE
OLYMPIA WA 98506
Officer/Director/Trustee Two
HUNTER SAMUELS
VICE PRESIDENT
1402 ALKI AVE SW UNIT 402
SEATTLE WA 98116
Officer/Director/Trustee Three
MICHAEL COLELLA
TREASURER
507 NE NORTH GATE WAY UNIT 442
SEATTLE WA 98125
Officer/Director/Trustee Four
ERIK OSBORN
SECRETARY
112 58TH PL SW
EVERETT WA 98203
| Organization’s website | |
|---|---|
| Organization’s email | BOJO5@ME.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/12/2011 |
| 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: 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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