FORM 1023-EZ for SOUTH SOUND COUGAR CLUB

Field Data
EIN 47-1222946
Case Number EO-2018037-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH SOUND COUGAR CLUB
Organization’s Mailing Address 8533 CHARMONT LANE SW
City OLYMPIA
State WA
ZIP 98512-7408
Accounting period End 12
Primary contact name LISA CARRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA CARRELL
CO-PRESIDENT
8533 CHARMONT LANE SW
OLYMPIA WA 98512-7408

Officer/Director/Trustee Two

ELIZABETH BROWN
CO-PRESIDENT
6301 TRALEE DR NW
OLYMPIA WA 98502-3456

Officer/Director/Trustee Three

HOLLY RILEY
SECRETARY
5214 53RD AVE SE
LACEY WA 98503-9013

Officer/Director/Trustee Four

JAMES REDDICK
DIRECTOR
723 EASTSIDE ST NE
OLYMPIA WA 98506-4029

Officer/Director/Trustee Five

DIANA KIRKBRIDE
DIRECTOR
7229 TIMBERLAKE DR SE
LACEY WA 98503-3058

Organization’s website
Organization’s email WSUSOUTHSOUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA CARRELL
Signature Title CO-PRESIDENT
Signature Date 2/4/18

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