FORM 1023-EZ for KENTWOOD FOOTBALL BOOSTER CLUB

Field Data
EIN 47-1520198
Case Number EO-2016230-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KENTWOOD FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 16017 SE 251ST STREET
City COVINGTON
State WA
ZIP 98042
Accounting period End 2
Primary contact name KENDRA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHAEL BREEDEN
PRESIDENT
PO BOX 9721
COVINGTON WA 98042

Officer/Director/Trustee Two

KENDRA MOORE
TREASURER
16017 SE 251ST STREET
COVINGTON WA 98042

Officer/Director/Trustee Three

SHANNON RIDGE
VICE-PRESIDENT
PO BOX 9721
COVINGTON WA 98042

Officer/Director/Trustee Four

KIM SEIBER
SECRETARY
PO BOX 9721
COVINGTON WA 98042

Organization’s website WWW.KENTWOODFOOTBALL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 No
One Third Support Gifts Yes
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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