FORM 1023-EZ for LAKE STEVENS HIGH SCHOOL BAND BOOSTERS

Field Data
EIN 30-0801012
Case Number EO-2018141-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE STEVENS HIGH SCHOOL BAND BOOSTERS
Organization’s Mailing Address PO BOX 261
City LAKE STEVENS
State WA
ZIP 98258-261
Accounting period End 6
Primary contact name KAREN HARNISH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY VILLESVIK
PRESIDENT
12006 22ND ST NE
LAKE STEVENS WA 98258-9148

Officer/Director/Trustee Two

KATHERINE SMITH
VICE PRESIDENT
11411 34TH ST NE
LAKE STEVENS WA 98258-8783

Officer/Director/Trustee Three

CATHERINE BENSON
SECRETARY
10408 40TH PL SE
LAKE STEVENS WA 98258-5741

Officer/Director/Trustee Four

KAREN HARNISH
TREASURER
11223 29TH ST SE
LAKE STEVENS WA 98258-5638

Officer/Director/Trustee Five

NEIL PROFF
HONORARY CHAIR/BAND DIRECTOR
11628 26TH PL SE
LAKE STEVENS WA 98258-5161

Organization’s website
Organization’s email LAKESTEVENSHSBANDBOOSTERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/13
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAREN HARNISH
Signature Title TREASURER
Signature Date 5/16/18

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