2024-03-14T11:56:40-05:00 2023-04-30 912011386 JACOBSON JARVIS & CO PLLC 200 1ST AVE W SUITE 200 SEATTLE WA 98119 990 2022-05-01 208611780 PACIFIC NORTHWEST SOCCER CLUB PACI 2063992597 17701 108TH AVE SE 445 RENTON WA 98055 FELIPE MENDEZ PRESIDENT 2063992597 2024-03-14 1 FELIPE MENDEZ 999009999 0 ZOE JOENS CPA P02389255 2066288990 2024-03-14 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X FELIPE MENDEZ 17701 108TH AVE SE 445 RENTON WA 98055 4356426 0 X WWW.PACIFICNORTHWESTSOCCERCLUB.ORG X 2007 WA TO PROVIDE AN ORGANIZED SOCCER PROGRAM. 9 9 95 531 0 0 658387 65047 3322085 4144839 440 16427 87234 78734 4068146 4305047 88185 108028 0 0 1949249 2311755 0 0 8175 1064336 1381744 3101770 3801527 966376 503520 2202415 2726810 361396 417919 1841019 2308891 PACNW OFFERS TOP-LEVEL SOCCER TRAINING AND DEVELOPMENT OPPORTUNITIES FOR PLAYERS AGED U8 THROUGH U19, ALL OF WHOM ARE TRAINED USING THE CLUB'S DELIBERATE, INTEGRATED, LONG-TERM PLAN FOR PLAYER DEVELOPMENT. 0 0 3364533 1875 4144839 TO PROVIDE AN ORGANIZED SOCCER PROGRAM THAT PROMOTES PHYSICAL FITNESS AND EDUCATES PLAYERS, COACHES, AND THE PUBLIC IN THE SKILLS, TECHNIQUES, AND TACTICS OF SOCCER, AND TO STIMULATE AND EXPAND PUBLIC INTEREST AND UNDERSTANDING OF SOCCER. TO ENCOURAGE ALL INDIVIDUALS REGARDLESS OF AGE, RACE, COLOR, CREED, RELIGIOUS, NATIONAL ORIGIN, OR ECONOMIC STATUS TO PARTICIPATE IN THE PROGRAMS, FUNCTIONS, AND ACTIVITIES OF THE CLUB. TO DO SO BY FIELDING AND DEVELOPING PREMIER SOCCER TEAMS FOR BOYS AND GIRLS AGED U8 THROUGH U19 IN THE PARTNERING SOCCER ASSOCIATIONS. TO PROVIDE FINANCIAL ASSISTANCE TO YOUTH WHO DEMONSTRATE FINANCIAL NEED AND OTHERWISE NOT BE ABLE TO PARTICIPATE. 106153 106153 SCHOLARSHIP PROGRAM TO ASSIST FAMILIES WHO QUALIFY FOR FREE OR REDUCED LUNCH IN THEIR SCHOOL. PACNW PROVIDES SCHOLARSHIPS TO CHILDREN IN THESE FAMILIES WHO WOULD LIKE TO PARTICIPATE IN THE HIGHEST LEVEL OF SOCCER. 15710 PARTNERED WITH FEDERAL WAY SOCCER ASSOCIATION TO MANAGE AND GROW THE RECREATIONAL SOCCER PROGRAM IN FEDERAL WAY TO GIVE CHILDREN IN THAT AREA MORE OPPORTUNITIES TO BE INVOLVED IN SOCCER. 3486396 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 95 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 1 1 1 0 WA X MICHELLE PATTON 2063992597 17701 108TH AVE SE 445 RENTON WA 98055 JILL FULLER PRESIDENT 5.00 X X 1700 0 0 MARILYNN MONTENEGRO SECRETARY 5.00 X X 1700 0 0 KRISTEN CEBULL TREASURER 5.00 X X 1700 0 0 RON PILAND VP OPERATIONS 5.00 X 1700 0 0 TAMI NGUYEN VP DEVELOPMENT 5.00 X 0 0 0 LAM TRAN VP OF TECHNOLOGY 5.00 X 750 0 0 JACQUELINE CAVINS VP OF COMMUNICATIONS 5.00 X 750 0 0 JULIUS EZEB COMMUNITY RELATIONS 5.00 X 750 0 0 JEFFREY HENMEN MEMBER 5.00 X 750 0 0 TODD JOHNSON EXECUTIVE DIRECTOR 20.00 X 52000 0 0 KAELEN ARAMAKI DIRECTOR OF OPERATIONS 25.00 X 65906 0 0 MALIA ARRANT CLUB DIRECTOR 40.00 X 139015 0 4200 VIET NGUYEN GIRLS ECNL DIRECTOR 40.00 X 116678 0 632 PEDRO MILLAN BOYS ECNL DIRECTOR 40.00 X 143971 0 4200 527370 0 9032 3 0 0 0 0 65047 65047 PLAYER FEES 711210 3514524 3514524 TOURNAMENTS AND CAMPS 711210 630315 630315 4144839 16427 16427 6446 6446 89300 51379 37921 37921 2085 0 2085 2085 MISCELLANEOUS 900099 32282 32282 32282 4305047 4144839 0 95161 1875 1875 106153 106153 494736 429000 65736 1583652 1452653 127432 3567 51538 49383 2155 181829 161974 19532 323 2399 2399 18614 18614 19070 14865 4195 10 27537 7699 19838 7898 7855 43 37236 21023 16213 30158 11844 18314 41717 41717 8322 8322 4216 4216 24835 24835 FIELD USE 535613 535613 TOURNAMENT AND LEAGUE F 250443 250443 REFEREES 226462 226462 EQUIPMENT 72873 72873 74351 69662 457 4232 3801527 3486396 306956 8175 501285 163300 1635879 2518116 27000 4300 33283 40342 29890 29138 4968 752 2202415 2726810 20850 66640 328744 351279 11802 0 361396 417919 X 1841019 2292811 16080 1841019 2308891 2202415 2726810 503520 -35648 0 X 1 X 0 0 0 X 20939 75507 349805 658387 65047 1169685 813458 3953253 2233163 3452100 4236224 14688198 834397 4028760 2582968 4110487 4301271 15857883 71140 71140 0 71140 71140 15786743 6064 1254 6945 6540 22873 43676 6064 1254 6945 6540 22873 43676 192 14719 1763 610 32282 49566 840653 4044733 2591676 4117637 4356426 15951125 0.98970 0.99750 0.00270 0.00140 X SCHEDULE A, PART III, SECTION A, COLUMN B: THE ORGANIZATION CHANGED ITS FISCAL YEAR FROM 1/1 - 12/31 TO 5/1 - 4/30. COLUMN E REFLECTS FISCAL YEAR 5/1/22 - 4/30/23. COLUMN D REFLECTS FISCAL YEAR 5/1/21 - 4/30/22. COLUMN C REFLECTS FISCAL YEAR 5/1/20 - 4/30/21. COLUMN B REFLECTS FISCAL YEAR 5/1/19 - 4/30/20. COLUMN A REFLECTS FISCAL YEAR (SHORT YEAR) 1/1/19 - 4/30/19. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29890 29138 752 752 89300 20000 3206 34 28139 0 89300 20000 3206 34 28139 51379 37921 WA 1 0 0 0 1.00000 MICHELLE PATTON 100 ANDOVER PARK WEST NO 187 TUKWILA WA 98188 0 0 1 FINANCIAL AID/SCHOLARSHIP 98 106153 BOOK FEE WAIVER PART I, LINE 2: REQUIREMENTS TO QUALIFY FOR FINANCIAL AID (ALL FORMS ARE REQUIRED AT THE TIME OF APPLICATION): COPY OF THE COMPLETED IRS 1040 FORM (FRONT AND BACK) FROM THE MOST RECENT TAX YEAR; PROOF OF CHILD'S QUALIFICATION FOR SCHOOL FREE OR REDUCED LUNCH OR GOVERNMENT FOOD ASSISTANCE PROGRAM IF APPLICABLE; PLAYER OF PACNW U10-U18 PROGRAM (FINANCIAL AID IS NOT AVAILABLE FOR JUNIOR PROGRAM PLAYERS); QUALIFY BASED ON USDA HOUSEHOLD INCOME GUIDELINES FOR THE CURRENT YEAR: LINK TO CHART HTTPS://WWW.FNS.USDA.GOV/SCHOOL-MEALS/FR-050818; SCHOLARSHIPS FOR MERIT BASED AWARDS ARE THROUGH IDENTIFICATION BY THE PACNW CLUB DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7A THE VOTING MEMBERSHIP OF THE CLUB SHALL CONSIST OF THE FOLLOWING: 5.1.1 AN ELECTED PARENT REPRESENTATIVE FROM EACH REGISTERED TEAM. 5.1.2 THE OFFICERS WHO COMPRISE THE BOARD OF DIRECTORS OF THE CLUB.5.1.3 ADDITIONAL VOLUNTEERS AS DEFINED IN THE BYLAWS OR SERVING THROUGH APPOINTMENT BY THE EXECUTIVE BOARD OF THE CLUB AND SPECIFICALLY GRANTED VOTING MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7B VOTING MEMBERS AS DESCRIBED IN 7A ELECT MEMBERS FOR OPEN POSITIONS ON THE EXECUTIVE BOARD OF THE CLUB; VOTE ON THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS, IF RECOMMENDED BY THE BOARD OF DIRECTORS OR SET FORTH IN A WRITTEN REQUEST SIGNED BY AT LEAST TWENTY PERCENT (20%) OF THE MEMBERS AND DELIVERED TO THE PRESIDENT OR SECRETARY OF THE CLUB NO LATER THAN SEVEN (7) DAYS BEFORE THE ANNUAL MEETING; VOTE ON ANY OTHER BUSINESS THAT IS RECOMMENDED BY THE BOARD OF DIRECTORS OR SET FORTH IN A WRITTEN REQUEST SIGNED BY TWENTY PERCENT (20%) OF THE MEMBERS AND DELIVERED TO THE PRESIDENT OR SECRETARY OF THE CLUB NO LATER THAN SEVEN (7) DAYS BEFORE THE ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B ACCOUNTING FIRM PROVIDES A COPY OF THE COMPLETED FORM 990 FOR THE PRESIDENT OF THE BOARD TO REVIEW. THE PRESIDENT PASSES THIS ON TO THE BOARD FOR REVIEW. THE BOARD MEETS TO APPROVE THE FORM 990 AS PRESENTED. ONCE APPROVED THE PRESIDENT SIGNS AND SENDS IT BACK TO THE ACCOUNTANT FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY-EMPLOYEES HAVE A SIGNED DUTY TO DISCLOSE. ANY CONFLICT OF INTEREST AND ALL MATERIAL FACTS SHALL BE PRESENTED TO THE BOARD. IF IT IS DETERMINED THAT THERE IS A BOARD MEMBER WITH THE CONFLICT, THE BOARD MEMBERS SHALL LEAVE THE MEETING WHILE THE TRANSACTION IS DISCUSSED AND SHALL NOT VOTE ON IT. THE BOARD DETERMINES IF IN FACT CONFLICT OF INTEREST EXISTS, AND DETERMINES THE CONSEQUENCES OF THE EXISTING CONFLICT OF INTEREST. IF THE PROPOSED TRANSACTION IS THE MOST BENEFICIAL ARRANGEMENT WHICH PACNW COULD OBTAIN IN THE CIRCUMSTANCES WITH REASONABLE EFFORTS. THE MINUTES, OF ANY MEETING AT WHICH SUCH A DECISIONS IS TAKEN, SHALL RECORD THE NATURE OF THE AFFILIATION AND THE MATERIAL FACTS DISCLOSED BY SUCH PERSON AND REVIEWD BY THE PRESIDENT OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 CONVERSATION WITH OTHER PEER CLUB PRESIDENTS AND EXECUTIVE DIRECTORS, RESEARCH OF PEER CLUBS' FORM 990S, AND EMAILS TO PEER CLUB OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.