FORM 1023-EZ for SOUTH SOUND PICKLE BALL CLUB

Field Data
EIN 82-1129747
Case Number EO-2017102-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH SOUND PICKLE BALL CLUB
Organization’s Mailing Address 13312 FOXGLOVE DR NW
City GIG HARBOR
State WA
ZIP 98332
Accounting period End 12
Primary contact name KENNETH LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH LEE
PRESIDENT
13312 FOXGLOVE DR NW
GIG HARBOR WA 98332

Officer/Director/Trustee Two

MIOK LEE
TREASURER
13312 FOXGLOVE DR NW
GIG HARBOR WA 98332

Officer/Director/Trustee Three

BARNEY BERNHARD
VICE PRESIDENT
3530 WISE ST NE
BREMERTON WA 98311

Officer/Director/Trustee Four

Shari OQUINN
SECRETARY
14714 176TH AVE KP N
GIG HARBOR WA 98329

Officer/Director/Trustee Five

LANCE HUNT
BOARD MEMBER
5624 PERDEMCO AVE
PORT ORCHARD WA 98367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
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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