FORM 1023-EZ for PRAIRIE HIGH SCHOOL VOLLEYBALL BOOSTER

Field Data
EIN 26-2800654
Case Number EO-2019112-000656
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRAIRIE HIGH SCHOOL VOLLEYBALL BOOSTER
Organization’s Mailing Address PO BOX 1362
City BRUSH PRAIRIE
State WA
ZIP 98606
Accounting period End 12
Primary contact name ERIC PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK CARTER
PRESIDENT
12507 NE RILEY CT
VANCOUVER WA 98686

Officer/Director/Trustee Two

ERIC PETERSON
TREASURER
16205 NE 125TH CT
BRUSH PRAIRIE WA 98606

Officer/Director/Trustee Three

LACEE LEMMON
VICE PRESIDENT
12705 NE 40TH AVE
VANCOUVER WA 98686

Officer/Director/Trustee Four

JANA POSTMA
SECRETARY
12501 NE 59TH AVE
VANCOUVER WA 98686

Organization’s website PHSVOLLEYBALL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/15
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 ERIC PETERSON
Signature Title TREASURER
Signature Date 4/19/19

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