FORM 1023-EZ for PUYALLUP NATION KINGS MINOR LEAGUE FOOTBALL ORGANIZATION

Field Data
EIN 47-1906993
Case Number EO-2017240-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUYALLUP NATION KINGS MINOR LEAGUE FOOTBALL ORGANIZATION
Organization’s Mailing Address 18505 11TH LANE EAST
City SPANAWAY
State WA
ZIP 98387-1969
Accounting period End 12
Primary contact name ELIZABETH SPRINGMAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TY SATIACUM
DIRECTOR
18505 11TH LANE EAST
SPANAWAY WA 98387-1969

Officer/Director/Trustee Two

JOE MCCLOUD
DIRECTOR
6408 SOUTH ALDER STREET
TACOMA WA 98409

Officer/Director/Trustee Three

ARCHIE CANTRELL
DIRECTOR
3009 EAST PORTLAND AVENUE
TACOMA WA 98404

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2014
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 Yes
One Third Support Gifts No
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
EIN 47-1906993
Case Number EO-2015026-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUYALLUP NATION KINGS MINOR LEAGUEFOOTBALL ORGANIZATION
Organization’s Mailing Address 18505 11TH LANE EAST
City SPANAWAY
State WA
ZIP 98387
Accounting period End 12
Primary contact name TY SATIACUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TY SATIACUM
DIRECTOR
18505 11TH LANE EAST
SPANAWAY WA 98387

Officer/Director/Trustee Two

ARCHIE CANTRELL
TREASURER
10921 BENSTON DRIVE EAST
PUYALLUP WA 98372

Officer/Director/Trustee Three

JOE MCCLOUD
SECRETARY
6408 S ALDER
TACOMA WA 98409

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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