FORM 1023-EZ for CHEHALIS BEARCAT ATHLETIC BOOSTER CLUB

Field Data
EIN 91-1220834
Case Number EO-2018046-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHEHALIS BEARCAT ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 342 SW 16TH ST
City CHEHALIS
State WA
ZIP 98532
Accounting period End 12
Primary contact name LISA MCKAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANIS DOBYNS
PRESIDENT
1663 SW KELLY AVE
CHEHALIS WA 98532

Officer/Director/Trustee Two

BRENDA BALMELLI
VICE PRESIDENT
2319 RICE ROAD
CHEHALIS WA 98532

Officer/Director/Trustee Three

TONYA PALLAS
SECRETARY
1013 HWY 603
CHEHALIS WA 98532

Officer/Director/Trustee Four

LISA MCKAY
CO-TREASURER
297 MIDDLE FORK ROAD
CHEHALIS WA 98532

Officer/Director/Trustee Five

MLINDA SPECK
CO-TREASURER
111 STEVESON RD
CHEHALIS WA 98532

Organization’s website
Organization’s email MCKAY2002@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/82
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA MCKAY
Signature Title CO-TREASURER
Signature Date 2/13/18

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