FORM 1023-EZ for RISING STARS MARTIAL ARTS CLUB

Field Data
EIN 47-1980841
Case Number EO-2015138-000393
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RISING STARS MARTIAL ARTS CLUB
Organization’s Mailing Address 14201 SE PETROVITSKY RD A3-255
City RENTON
State WA
ZIP 98058-8986
Accounting period End 12
Primary contact name ELIZABETH CROUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEANNE STRUBLE
PRESIDENT
17634 143RD AVE SE APT C106
RENTON WA 98058

Officer/Director/Trustee Two

TAMI LEE
VICE PRESIDENT
28118 123RD PL SE
KENT WA 98030

Officer/Director/Trustee Three

CHRIS LEE
SECRETARY
17634 143RD AVE SE APT C106
RENTON WA 98058

Officer/Director/Trustee Four

ELIZABETH CROUSE
TREASURER
20615 SE 192ND ST
RENTON WA 98058

Organization’s website
Organization’s email RISINGSTARSMARTIALARTSCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2014
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: 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 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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