FORM 1023-EZ for TWIM BOOSTER CLUB

Field Data
EIN 83-4008907
Case Number EO-2019079-000586
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TWIM BOOSTER CLUB
Organization’s Mailing Address 2416 201ST AVE SE
City SAMMAMISH
State WA
ZIP 98075-9636
Accounting period End 12
Primary contact name CARL B HAYNIE - DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VINCE CARMOSINO
PRESIDENT
1487 243RD PL NE
SAMMAMISH WA 98074-5029

Officer/Director/Trustee Two

THOMAS WALKER
VICE PRESIDENT
3804 245TH AVE SE
SAMMAMISH WA 98029-6522

Officer/Director/Trustee Three

KATHY PELHAM
SECRETARY
2605 260TH PL SE
SAMMAMISH WA 98075-7907

Officer/Director/Trustee Four

ELIZABETH KASSEN
TREASURER
931 W ROANOKE ST
CENTRALIA WA 98531-2019

Officer/Director/Trustee Five

CARL HAYNIE
COMMUNICATIONS DIRECTOR
2416 201ST AVE SE
SAMMAMISH WA 98075-9636

Organization’s website HTTPS://WWW.TWIMTEAM.ORG/TWIM-BOOSTER-CLUB/
Organization’s email TEAMTWIM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARL HAYNIE
Signature Title COMMUNICATIONS DIRECTOR
Signature Date 3/18/19

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