FORM 1023-EZ for MISS BEHAVIN CC

Field Data
EIN 46-5553646
Case Number EO-2016053-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISS BEHAVIN CC
Organization’s Mailing Address PO BOX 610
City GRAHAM
State WA
ZIP 98338
Accounting period End 12
Primary contact name MATT HEUSLEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATT CRAIG
PRESIDENT
10510 260TH STE E
GRAHAM WA 98338

Officer/Director/Trustee Two

MATT HEUSLEIN
VICE PRESIDENT
4309 N FERDINAND ST
TACOMA WA 98407

Officer/Director/Trustee Three

KEVIN PATTISON
SECRETARY
4917 266TH ST E
SPANAWAY WA 98387

Officer/Director/Trustee Four

TIFFANIE PRICE
TREASURER
7912 153RD ST CT E
PUYALLUP WA 98375

Organization’s website WWW.MISSBEHAVINCC.ORG
Organization’s email TPRICE@MISSBEHAVINCC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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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