FORM 1023-EZ for TAHOMA WATER POLO BOOSTER CLUB

Field Data
EIN 47-2323630
Case Number EO-2016074-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAHOMA WATER POLO BOOSTER CLUB
Organization’s Mailing Address 19826 SE 192ND ST
City RENTON
State WA
ZIP 98058-0228
Accounting period End 1
Primary contact name ERIKA HANGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHLEEN HESS
PRESIDENT
19910 SE 192ND ST
RENTON WA 98058-0228

Officer/Director/Trustee Two

AMANDA SAUNDERS
VICE PRESIDENT
5410 109TH AVE CT E
PUYALLUP WA 98372

Officer/Director/Trustee Three

VICKI BALZARINI
SECRETARY
2136 NE NOBLE ST
ISSAQUAH WA 98029

Officer/Director/Trustee Four

ERIKA HANGER
TREASURER
19826 SE 192ND ST
RENTON WA 98058-0228

Officer/Director/Trustee Five

JAMES HARDY
DIRECTOR - MEMBER AT LARGE
29025 229TH AVE SE
BLACK DIAMOND WA 98010

Organization’s website WWW.TAHOMAWATERPOLO.ORG
Organization’s email ERIKA@TAHOMAWATERPOLO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2014
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: 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 Yes
Gaming Activity No
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
Signature Title
Signature Date

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