FORM 1023-EZ for FC LADY VIKS

Field Data
EIN 47-1804964
Case Number EO-2017234-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FC LADY VIKS
Organization’s Mailing Address 1923 E DAY ISLAND BLVD W
City UNIVERSITY PLACE
State WA
ZIP 98466
Accounting period End 9
Primary contact name KAREN VAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN VAVER
PRESIDENT
1923 E DAY ISLAND BLVD W
UNIVERSITY PLACE WA 98466

Officer/Director/Trustee Two

DOUG BRYANT
VICE PRESIDENT
4209 PALISADES PLACE
UNIVERSITY PLACE WA 98466

Organization’s website
Organization’s email FCLADYVIKS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 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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