FORM 1023-EZ for WASHINGTON MASTERS DRAGON BOAT CLUB

Field Data
EIN 84-3635703
Case Number EO-2019318-000217
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHINGTON MASTERS DRAGON BOAT CLUB
Organization’s Mailing Address PO BOX 1327
City GIG HARBOR
State WA
ZIP 98335
Accounting period End 12
Primary contact name ANITA JONES EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANITA JONES
PRESIDENT
3821 SPADONI LN
GIG HARBOR WA 98335

Officer/Director/Trustee Two

LESLEY BLYTH
VICE PRESIDENT
410 W ROY ST E407
SEATTLE WA 98119

Officer/Director/Trustee Three

THERESA PHARMS
SECRETARY
3120 N 27TH ST
TACOMA WA 98407

Officer/Director/Trustee Four

MARGAUX SEROCK
TREASURER
13819 93RD AVE NW
GIG HARBOR WA 98329

Officer/Director/Trustee Five

CLAUDIA HOLZBERGER
DIRECTOR AT LARGE
29731 174TH AVE SE
KENT WA 98042

Organization’s website WAMASTERS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/19
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: Yes
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 ANITA JONES
Signature Title PRESIDENT
Signature Date 11/12/19

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