FORM 1023-EZ for PIERCE COUNTY DISC GOLF ASSOCIATION

Field Data
EIN 87-1466387
Case Number EO-2021190-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIERCE COUNTY DISC GOLF ASSOCIATION
Organization’s Mailing Address 8604 ONYX DRIVE SW UNIT B
City LAKEWOOD
State WA
ZIP 98498
Accounting period End 10
Primary contact name JOSEPH THEODORE COUILLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH COUILLARD
PRESIDENT
6709 35TH AVE SW
SEATTLE WA 98126-3044

Officer/Director/Trustee Two

MATTHEW VAN DUSEN
VICE PRESIDENT
8604 ONYX DRIVE SW UNIT B
LAKEWOOD WA 98498-4878

Officer/Director/Trustee Three

TORRE STENSLAND
TREASURER
9123 FOREST AVE SW
LAKEWOOD WA 98498-3523

Officer/Director/Trustee Four

BRUCE SWINEY-WEAVER
SECRETARY
16704 127TH AVENUE CT E
PUYALLUP WA 98374-8835

Organization’s website WWW.PIERCECOUNTYDISCGOLF.ORG
Organization’s email PCDGA2021@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 JOSEPH COUILLARD
Signature Title PRESIDENT
Signature Date 7/7/2021

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