FORM 1023-EZ for KELSO CLASS OF 2020 BOOSTERS

Field Data
EIN 82-3057534
Case Number EO-2017298-000439
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELSO CLASS OF 2020 BOOSTERS
Organization’s Mailing Address PO BOX 54
City CARROLLS
State WA
ZIP 98609
Accounting period End 6
Primary contact name SHANNON NESTAVAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY BETH TACK
PRESIDENT
821 BODINE RD
KELSO WA 98626

Officer/Director/Trustee Two

KAREN JOY
VICE PRESIDENT
135 JOY STREET
KELSO WA 98626

Officer/Director/Trustee Three

SHANNON NESTAVAL
TREASURER
145 CORNWELL RD
KELSO WA 98626

Officer/Director/Trustee Four

CHERIE GASTON
SECRETARY
103 ADAMS DRIVE
KELSO WA 98626

Officer/Director/Trustee Five

JILL HALL
VOTING MEMBER
4125 ROSE VALLEY RD
KELSO WA 98626

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
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: 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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