FORM 1023-EZ for PIRATE BOOSTER CLUB

Field Data
EIN 81-3652568
Case Number EO-2016239-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIRATE BOOSTER CLUB
Organization’s Mailing Address PO BOX 44
City POMEROY
State WA
ZIP 99347
Accounting period End 12
Primary contact name LESLIE SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE WATKO
PRESIDENT
1250 MAIN
POMEROY WA 99347

Officer/Director/Trustee Two

ED PREVOST
VICE PRESIDENT
63 VANALTON
POMEROY WA 99347

Officer/Director/Trustee Three

LESLIE SCHMIDT
TREASURER
1218 ARLINGTON ST
POMEROY WA 99347

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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