FORM 1023-EZ for BLITZ MANAGEMENT ASSOCIATION

Field Data
EIN 47-1544135
Case Number EO-2014227-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLITZ MANAGEMENT ASSOCIATION
Organization’s Mailing Address 33814 SE SORENSON ST
City SNOQUALMIE
State WA
ZIP 98065
Accounting period End 12
Primary contact name MATTHEW A LERSCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNA MCCARRON
CEO
33814 SE SORENSON ST
SNOQUALMIE WA 98065

Officer/Director/Trustee Two

MATTHEW LERSCH
CFO
26217 200TH AVE SE
COVINGTON WA 98042

Officer/Director/Trustee Three

SCOTT MCCARRON
COO
33814 SE SORENSON ST
SNOQUALMIE WA 98065

Officer/Director/Trustee Four

SHANNON LORD
EVP
26217 200TH AVE SE
COVINGTON WA 98042

Officer/Director/Trustee Five

SARAH KARLEK
SECRETARY
22104 124TH AVE SE
KENT WA 98031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football 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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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