FORM 1023-EZ for LAKEWOOD HIGH SCHOOL DRAMA BOOSTER CLUB

Field Data
EIN 46-5497802
Case Number EO-2017306-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKEWOOD HIGH SCHOOL DRAMA BOOSTER CLUB
Organization’s Mailing Address PO BOX 135
City NORTH LAKEWOOD
State WA
ZIP 98259
Accounting period End 6
Primary contact name KELLY BERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY BERG
PRESIDENT
12528 3RD AVE NE
MARYSVILLE WA 98271

Officer/Director/Trustee Two

SHERI WEGNER
SECRETARY
15031 17TH DR NE
ARLINGTON WA 98223

Officer/Director/Trustee Three

VICKI HILL
TREASURER
6700 TOTEM BEACH DR
TULALIP WA 98271

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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