FORM 1023-EZ for MERCER ISLAND GIRLS FASTPITCH BOOSTER CLUB

Field Data
EIN 82-2682645
Case Number EO-2017250-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERCER ISLAND GIRLS FASTPITCH BOOSTER CLUB
Organization’s Mailing Address 8125 SE 79TH ST
City MERCER ISLAND
State WA
ZIP 98040
Accounting period End 12
Primary contact name MARC BEREJKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARC BEREJKA
AGENT
8125 SOUTHEAST 79TH STREET
MERCER ISLAND WA 98040

Officer/Director/Trustee Two

MARCY BEREJKA
CHAIRMAN
8125 SOUTHEAST 79TH STREET
MERCER ISLAND WA 98040

Officer/Director/Trustee Three

HEATHER RAMSEYER
DIRECTOR
8930 SE 54TH ST
MERCER ISLAND WA 98040

Officer/Director/Trustee Four

MINDY ROWE
DIRECTOR
4657 91ST AVE SE
MERCER ISLAND WA 98040

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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