FORM 1023-EZ for FORT LEWIS RIDING CLUB

Field Data
EIN 91-0966550
Case Number EO-2016068-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORT LEWIS RIDING CLUB
Organization’s Mailing Address PO BOX 33191
City FORT LEWIS
State WA
ZIP 98433-9500
Accounting period End 12
Primary contact name JENNIFER MILLBURN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK WOODWARD
PRESIDENT
1282 HUDSON ST
DUPONT WA 98327-8752

Officer/Director/Trustee Two

JOSHUA SWARTZBAUGH
VICE PRESIDENT
4031 HEMLOCK ST SW
FORT LEWIS WA 98439-1608

Officer/Director/Trustee Three

JENNIFER MILLBURN
SECRETARY
5312 IDAHO AVE E
FORT LEWIS WA 98433-9500

Officer/Director/Trustee Four

NINA COGSWELL
TREASURER
1535 PALISADE BLVD
DUPONT WA 98327-8752

Officer/Director/Trustee Five

CLAUDIA TYNES
BARN OFFICER
8191 DALLAS PLACE
FORT LEWIS WA 98433-1325

Organization’s website
Organization’s email FORTLEWISRIDINGCLUB.WA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2001
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
Organization’s purpose Charitable: Yes
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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