FORM 1023-EZ for LAKE STEVENS HOOPSTERS

Field Data
EIN 83-3884367
Case Number EO-2019259-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE STEVENS HOOPSTERS
Organization’s Mailing Address PO BOX 1402
City LAKE STEVENS
State WA
ZIP 98258-1402
Accounting period End 12
Primary contact name JASON B CHIDESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS LOPEZ
VICE PRESIDENT
4702 128TH AVE NE
LAKE STEVENS WA 98258

Officer/Director/Trustee Two

LAUREN HUNTER
SECRETARY
1001 E 5TH ST
ARLINGTON WA 98223

Officer/Director/Trustee Three

JASON YOUNG
TREASURER
12413 5TH PL NE
LAKE STEVENS WA 98258

Officer/Director/Trustee Four

JASON CHIDESTER
PRESIDENT
5115 80TH AVE NE
MARYSVILLE WA 98270

Organization’s website
Organization’s email LSHOOPSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 JASON CHIDESTER
Signature Title PRESIDENT
Signature Date 9/13/19

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