2022-02-14T20:34:49-06:00 2021-04-30 912011386 JACOBSON JARVIS & CO PLLC 200 FIRST AVE WEST SUITE 200 SEATTLE WA 981194219 990 2020-05-01 208611780 PACIFIC NORTHWEST SOCCER CLUB PACI 2062678850 100 ANDOVER PARK WEST NO 187 TUKWILA WA 98188 JOHN WILSON PRESIDENT 2062678850 2022-02-14 1 JOHN WILSON 999009999 HOWARD DONKIN CPA P00147726 2066288990 2022-02-03 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN WILSON 100 ANDOVER PARK WEST NO 187 TUKWILA WA 98188 2591676 0 X WWW.PACIFICNORTHWESTSOCCERCLUB.COM X 2007 WA TO PROVIDE AN ORGANIZED SOCCER PROGRAM. 7 7 77 115 0 0 75507 349805 3847382 2233163 385 95 70747 5724 3994021 2588787 125594 72825 0 0 1833054 1867080 0 0 0 2092094 563975 4050742 2503880 -56721 84907 1151256 1348013 316747 429298 834509 918715 TO PROVIDE AN ORGANIZED SOCCER PROGRAM FOR THE CHARACTER DEVELOPMENT OF YOUTH, TO PROMOTE PHYSICAL FITNESS, TO EDUCATE PLAYERS, COACHES, AND THE PUBLIC IN THE SKILLS, TECHNIQUES, AND TACTICS OF SOCCER, AND TO STIMULATE AND EXPAND PUBLIC INTEREST AND UNDERSTANDING OF SOCCER. 0 0 2201763 2159227 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. 72825 72825 SCHOLARSHIP PROGRAM TO ASSIST FAMILIES WHO QUALIFY FOR FREE OR REDUCED LUNCH IN THEIR SCHOOLS. PACNW PROVIDES SCHOLARSHIPS TO CHILDREN IN THESE FAMILIES WHO WOULD LIKE TO PARTICIPATE IN THE HIGHEST LEVEL OF SOCCER. 146081 73936 JUNIOR ACADEMY - RUN A TRANSITIONAL PROGRAM AT AN AFFORDABLE PRICE FOR THE YOUNGEST MEMBERS OF OUR COMMUNITY, 7 AND 8 YEAR OLDS. 2420669 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 77 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 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 100 ANDOVER PARK WEST NO 187 TUKWILA WA 98188 JOHN WILSON PRESIDENT 1.94 X X 3016 0 0 RYAN MEEKS VP OPERATIONS 0.00 X 0 0 0 JEFF SELBY VP DEVELOPMENT 2.14 X 3358 0 0 MARILYNN MONTENEGRO VP COMMUNICATION 1.92 X 3010 0 0 BRIAN RECKLING COMMUNITY RELATIONS 2.02 X 3128 0 0 JEFF HEMMEN MEMBER AT LARGE 1.92 X 3016 0 0 KRIS CEBULL SECRETARY 2.12 X X 3293 0 0 ADNAN SMAJLOVIC VP OPERATIONS 1.88 X 2907 0 0 TODD JOHNSON EXECUTIVE DIRECTOR 20.77 X 56333 0 0 KAELEN ARAMAKI DIRECTOR OF OPERATIONS 33.56 X 69796 0 0 LEIGHTON O'BRIEN TECHNICAL DIRECTOR 46.08 X 150095 0 4200 MALIA ARRANT DIRECTOR OF COACHING GIRLS 43.29 X 143642 0 4200 VIET NGUYEN YOUTH PROGRAM DIRECTOR 43.28 X 116341 0 1050 PEDRO MILLAN DIRECTOR OF SPORTS 43.22 X 101049 0 4200 658984 0 13650 4 0 1 0 0 7659 308700 33446 349805 PLAYER FEES 711210 2234935 2234935 TOURNAMENTS AND CAMPS 711210 -1772 -1772 2233163 95 95 6850 6850 0 7659 2889 -2889 -2889 MISCELLANEOUS 900099 1763 1763 1763 2588787 2233163 0 5819 72825 72825 552582 552582 1125859 1125859 54278 54278 134361 134361 5549 5549 14785 14785 23109 23109 833 833 1848 1848 2530 2530 12824 4200 8624 387932 369130 18802 17487 17487 738 738 4216 4169 47 7917 7917 TOURNAMENT AND LEAGUE F 46020 46020 REFEREES 14948 14948 EQUIPMENT AND COVID SUP 14681 14681 COVID PPE 6858 6858 1700 1700 2503880 2420669 83211 0 380462 428787 753124 894303 15739 29890 20706 17670 9184 1151256 1348013 8611 308700 345300 8047 75387 316747 429298 X 834509 918715 834509 918715 1151256 1348013 84907 -701 0 X 0 0 0 X 21984 76318 20939 75507 349805 544553 3056515 3965687 813458 3953253 2233163 14022076 3078499 4042005 834397 4028760 2582968 14566629 0 0 0 14566629 351 548 6064 1254 6945 15162 351 548 6064 1254 6945 15162 192 14719 1763 16674 3078850 4042553 840653 4044733 2591676 14598465 0.99780 0.99780 0.00100 0.00060 X SCHEDULE A, PART III, SECTION A, COLUMN C: THE ORGANIZATION CHANGED ITS FISCAL YEAR FROM 1/1 - 12/31 TO 5/1 - 4/30. COLUMN E REFLECTS FISCAL YEAR 5/1/20 - 4/30/21. COLUMN D REFLECTS FISCAL YEAR 5/1/19 - 4/30/20. COLUMN C REFLECTS FISCAL YEAR (SHORT YEAR) 1/1/19 - 4/30/19. COLUMN B REFLECTS FISCAL YEAR 1/1/18 - 12/31/18. COLUMN A REFLECTS FISCAL YEAR 1/1/17 - 12/31/17. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29890 20706 9184 9184 CARES DEFERRED PR TAXES 75387 75387 1 FINANCIAL AID/SCHOLARSHIP 75 72825 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 TECHNICAL DIRECTOR. X X 0 0 0 0 0 0 0 0 0 LEIGHTON O'BRIEN TECHNICAL DIRECTOR 139561 0 10534 0 0 0 0 0 4200 0 154295 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE VOTING MEMBERSHIP OF THE CLUB SHALL CONSIST OF THE FOLLOWING: AN ELECTED PARENT REPRESENTATIVE FROM EACH REGISTERED TEAM; THE OFFICERS WHO COMPRISE THE BOARD OF DIRECTORS OF THE CLUB; 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 LINE 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.