FORM 1023-EZ for PRAIRIE FOOTBALL BOOSTERS

Field Data
EIN 83-3754753
Case Number EO-2019095-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRAIRIE FOOTBALL BOOSTERS
Organization’s Mailing Address PO BOX 306
City BRUSH PRAIRIE
State WA
ZIP 98606
Accounting period End 12
Primary contact name LISA SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA SHELTON
PRESIDENT
PO BOX 822727
VANCOUVER WA 98682

Officer/Director/Trustee Two

MARY DUNN
VICE PRESIDENT
44604 NE 96TH AVE
WOODLAND WA 98674

Officer/Director/Trustee Three

SARA WALD
TREASURER
5817 NE 113TH STREET
VANCOUVER WA 98686

Officer/Director/Trustee Four

MELISSA KIMBALL
SECRETARY
12612 NE 44TH COURT
VANCOUVER WA 98686

Officer/Director/Trustee Five

MICHAEL SCHLALOS
FUNDRAISING CHAIR
11309 NE 103RD STREET
VANCOUVER WA 98662

Organization’s website
Organization’s email PRAIRIEFOOTBALLBOOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 Yes
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 LISA SHELTON
Signature Title PRESIDENT
Signature Date 4/3/19

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