FORM 1023-EZ for CAPITAL BASKETBALL BOOSTERS

Field Data
EIN 47-4223396
Case Number EO-2015278-000455
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPITAL BASKETBALL BOOSTERS
Organization’s Mailing Address 1976 CAMBRIDGE LANE SW
City OLYMPIA
State WA
ZIP 98512
Accounting period End 12
Primary contact name JEFF HOLLINGSWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAWNYA SMITH
PRESIDENT
1976 CAMBRIDGE LANE SW
OLYMPIA WA 98512

Officer/Director/Trustee Two

ERIK PENNER
VICE PRESIDENT
8906 SALTY DRIVE NW
OLYMPIA WA 98502

Officer/Director/Trustee Three

AMANDA BEERS
VICE PRESIDENT
5607 12TH AVENUE SW
OLYMPIA WA 98512

Officer/Director/Trustee Four

TIM LAYTON
SECRETARY
7420 MANZANITA DRIVE
OLYMPIA WA 98502

Officer/Director/Trustee Five

PAUL STROPHY
TREASURER
1226 STATE AVENUE NE
OLYMPIA WA 98506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2015
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: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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