FORM 1023-EZ for GAFFNEYS GROVE DISC GOLF COURSE

Field Data
EIN 81-3972111
Case Number EO-2019252-000511
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GAFFNEYS GROVE DISC GOLF COURSE
Organization’s Mailing Address 27448 212TH PL SE
City MAPLE VALLEY
State WA
ZIP 98038-3162
Accounting period End 12
Primary contact name JUSTIN GILLMOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN GILLMOR
PRESIDENT
27448 212TH PL SE
MAPLE VALLEY WA 98038-3162

Officer/Director/Trustee Two

JARED MCGLINCHEY
VICE PRESIDENT
28033 SE 216TH ST
MAPLE VALLEY WA 98038-3162

Officer/Director/Trustee Three

CHRISTINA ROBERTS
SECRETARY
222 O ST NE
AUBURN WA 98002

Officer/Director/Trustee Four

REBECCA GILLMOR
TREASURER
27884 212TH PL SE
MAPLE VALLEY WA 98038-3162

Organization’s website
Organization’s email GAFFNEYS.GROVE.DGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/16
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JUSTIN GILLMOR
Signature Title PRESIDENT
Signature Date 9/6/19
EIN 81-3972111
Case Number EO-2016273-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GAFFNEYS GROVE DISC GOLF COURSE
Organization’s Mailing Address 22500 SE 248TH ST
City MAPLE VALLEY
State WA
ZIP 98038-3162
Accounting period End 12
Primary contact name JUSTIN GILLMOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN GILLMOR
PRESIDENT
27448 212TH PL SE
MAPLE VALLEY WA 98038-3162

Officer/Director/Trustee Two

DONALD TRUESON
TREASURER
24432 236TH CT SE
MAPLE VALLEY WA 98038-3162

Officer/Director/Trustee Three

THOMAS ALLYN
SECRETARY
21704 SE 237TH ST
MAPLE VALLEY WA 98038-3162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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