FORM 1023-EZ for HENRY M JACKSON HIGH SCHOOL GIRLS BASKETBALL BOOSTERS

Field Data
EIN 26-3296497
Case Number EO-2015236-000103
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENRY M JACKSON HIGH SCHOOL GIRLS BASKETBALL BOOSTERS
Organization’s Mailing Address 13429 48TH DR SE
City SNOHOMISH
State WA
ZIP 98296
Accounting period End 4
Primary contact name TARA LOCKNANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENNY MATTISON
PRESIDENT
13429 48TH DR SE
SNOHOMISH WA 98296

Officer/Director/Trustee Two

TRESSA CLINTON
SECRETARY
13510 N CREEK DR APT G203
MILL CREEK WA 98012

Officer/Director/Trustee Three

TARA LOCKNANE
TREASURER
1302 151ST PL SE
MILL CREEK WA 98012

Organization’s website N/A
Organization’s email JACKSONGIRLSBBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2008
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 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
Signature Title
Signature Date

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