FORM 1023-EZ for MEDICAL LAKE HIGH SCHOOL BOOSTER CLUB

Field Data
EIN 90-0360857
Case Number EO-2018218-000421
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDICAL LAKE HIGH SCHOOL BOOSTER CLUB
Organization’s Mailing Address PO BOX 1022
City MEDICAL LAKE
State WA
ZIP 99022
Accounting period End 12
Primary contact name MANDY ORNELAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARIN SPANGLER
PRESIDENT
12312 W 9TH ST
AIRWAY HEIGHTS WA 99001

Officer/Director/Trustee Two

KARRI TURNBOUGH
VICE PRESIDENT
6925 S CRAIG RD
CHENEY WA 99004

Officer/Director/Trustee Three

APRIL SPANGLER
SECRETARY
1001 N STANLEY STREET
MEDICAL LAKE WA 99022

Officer/Director/Trustee Four

MANDY ORNELAS
TREASURER
710 S EVERGREEN DRIVE
MEDICAL LAKE WA 99022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/08
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 MANDY ORNELAS
Signature Title TREASURER
Signature Date 8/1/18

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