FORM 1023-EZ for ADVENTURES OF A LUMBERJACK MEMORIALFUN RUN

Field Data
EIN 82-5094014
Case Number EO-2018106-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADVENTURES OF A LUMBERJACK MEMORIALFUN RUN
Organization’s Mailing Address 11013 33RD ST SE
City LAKE STEVENS
State WA
ZIP 98258-5171
Accounting period End 12
Primary contact name ANN HOPKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANN HOPKINS
PRESIDENT
11013 33RD ST SE
LAKE STEVENS WA

Officer/Director/Trustee Two

LINDSEY BURGESS
OFFICER
1714 117TH DR SE
LAKE STEVENS WA

Officer/Director/Trustee Five




LAKE STEVENS WA

Organization’s website ADVENTURESOFALUMBERJACK.COM
Organization’s email ANNHOPKINS160@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 ANN HOPKINS
Signature Title PRESIDENT
Signature Date 4/6/18

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