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Form 1024
<br />(Rev. 5eptember 1998)
<br />Dimarbnera of The Treasury
<br />Interntll Revenue Seevice
<br />Application for Recognition of Exemption
<br />Under Section 501(a)
<br />OMB No. 1545-0057
<br />0 emmilt status is app"W",
<br />Wa appUatlon will be open
<br />fpr Public hrspecllm
<br />Read the instructions for each Part carefully. A User Fee must be attached to this application.
<br />If the required information and appropriate documents are not submitted along with Farm 8718 (with payment
<br />of the appropriate user floe), the application may be returned to the organization.
<br />Complete the Procedural Checklist on page 6 of the instructions.
<br />Hart 1. laentltication of Applicant (Must be completed by all applicants: also complete appropriate schedule.)
<br />Submit only the schedule that applies to YOLIF organization. Oo not submit blank schedules.
<br />Check the appropriate box below to indicate the section under which the organization is applying;
<br />a ❑ Section 501(c)(2)—Title holding corporations (Schedule A. page 7)
<br />b ❑ Section 501(00)—Civic leagues. social welfare organizations (including certain war veterans' organizations), or local associations of
<br />employees (Schedule B, page B)
<br />c ❑ Section 501(c)(5)—Labor, agricultural, or horticultural organizations (Schedule C, page 9)
<br />of 0 Section 501(c)(6)—Business leagues, chambers of commerce, etc. (Schedule C, page 9)
<br />e ❑ Section 501(c)(7)—Social clubs (Schedule D, page 11)
<br />If ❑ Section 501(c)(8) ---Fraternal beneficiary societies, etc., providing life, sick, accident, or other benefits to members (Schedule E, page 13)
<br />g ❑ Section 501(c)(9)—Voluntary employees' beneficiary associations (Parts I through IV and Schedule F, page 14)
<br />h ❑ Section 501(c)(10)—Domestic fraternal societies, orders, etc., not providing life, sick, accident, or other benefits (Schedule E, page 13)
<br />1 ❑ Section 501(c)(12)—Benevolent life insurance associations mutual ditch or irri ation com anle t I
<br />1a
<br />W p s, mu ua or cooperative telephone
<br />companies, or like organizations (Schedule G, page 15)
<br />❑ Section 501(c)(13)—Cemeteries, crematoria, and like corporations ScheduleV;Mlineedulc
<br />P (
<br />❑ Section 501(c)(15)—Mutual insurance companies or associations, other it I, page 17)❑ Section 501(c)(17)—Trusts providing for the payment of supplemental olernploy o I through IV and Schedule J, page 18)
<br />Section 501(cx19)—A post, organization, auxiliary unit, etc., of past or pr ni erse United States (Schedule K, page 19)
<br />❑ Section 501(c)(25)—Tale holdingcorporations or trusts (Schedu a 7)
<br />Full name of organization (as shown in organizing gperVnt)j 2 Employer identification number (EIN) (it
<br />Kittitas Valley Vintners Association r-000 '00or
<br />1b c/o Name (if applicable)
<br />Troy Goodreau
<br />1c Address (number and street) Room/Suite
<br />111 Dodge Road
<br />none, see Specific Instructions on page 2)
<br />B1 ;3 672001
<br />Name and telephone number of person to be
<br />contacted if additional Information is needed
<br />1d City, town or post office, state, and ZIP t 4 If you have a foreign address, see Specific
<br />Instructions for Part I, page 2.
<br />Ellensburg, WA 98926 ( 509 ) 925-5423
<br />le Web site address
<br />www.kittitasvalleyvintners.org
<br />4 Month the annual accountingr A
<br />eriod ends 5 Date in,nr 4rated or formed
<br />December QliQ'rrt a, l
<br />Did the or previously apply for recognition of exemption under this Code section or under any other section of the Code?
<br />If "Yes," attach an explanation,
<br />❑ Yes 0 No
<br />7 Has the organization filed Federal income tax returns or exempt organization information returns? . , , . . ❑ Yes ® No
<br />If "Yes," state the form numbers, years filed, and Internal Revenue office where filed.
<br />B Check the box for the type of organization. ATTACH A CONFORMED COPY OF THE CORRESPONDING ORGANIZING DOCUMENTS TO
<br />THE APPLICATION BEFORE MAILING,
<br />a ❑ Corporation— Attach a copy of the Articles of Incorporation (including amendments and restatements) showing approval by the
<br />appropriate state official; also attach a copy of the bylaws.
<br />b ❑ Trust— Attach a copy of the Trust Indenture or Agreement, including all appropriate signatures and dales.
<br />c ® Association— Attach a copy of the Articles of Association, Constitution, at other creating document, with a declaration (see instructions) or
<br />other evidence that the organization was formed by adoption of the document by more than one person. Also include a copy
<br />of the bylaws.
<br />If this is a corporation or an unincorporated association that has not yet adopted bylaws. check here . ► [)
<br />I declare under theprr !lies of perjury that I am authorized to sign this application on behalf of the above organization, and that I have examined
<br />this nip ralivo. i iduri Ig the arcampanying schedules and attachments, and to the best of my knowledge it is true, correct, and cornptrtt-
<br />PLEASE
<br />SIGN Troy Goodreau
<br />(Type Iii ...... j
<br />HERE tit nature] se oriiit name and title or aullnlrlly of .,ic;i,e;} iF7r r1}
<br />For Paperwork R ctlo Act Notice, see page 5 of the instructions.
<br />Cat. No. 12343K
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