2021-02-02T13:14:03-06:00 2020-04-30 912011386 JACOBSON JARVIS & CO PLLC 200 FIRST AVE WEST SUITE 200 SEATTLE WA 981194219 990 2019-05-01 208611780 PACIFIC NORTHWEST SOCCER CLUB PACI 2062678850 100 ANDOVER PARK WEST NO 150 TUKWILA WA 98188 JOHN WILSON PRESIDENT 2062678850 2020-10-02 1 KARI MOORE CPA P01392605 2066288990 2020-10-02 2019 2022-09-23 18:48:47Z JOHN WILSON 100 ANDOVER PARK WEST NO 150 TUKWILA WA 98188 4044733 0 X WWW.PACIFICNORTHWESTSOCCERCLUB.COM X 2007 WA TO PROVIDE AN ORGANIZED SOCCER PROGRAM. 7 7 70 430 0 0 20939 75507 727803 3847382 149 385 54990 70747 803881 3994021 2504 125594 0 0 582736 1833054 0 0 0 886472 2092094 1471712 4050742 -667831 -56721 1261339 1151256 224118 316747 1037221 834509 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 3777175 125594 3698939 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. 166245 148443 JUNIOR ACADEMY: RUN A TRANSITIONAL PROGRAM AT AN AFFORDABLE PRICE FOR THE YOUNGEST MEMBERS OF OUR COMMUNITY, 7 AND 8 YEAR OLDS. 3943420 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 22 1 1 70 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 0 1 1 0 WA X KAELEN ARAMAKI 2063992597 100 ANDOVER PARK WEST NO 150 TUKWILA WA 98188 MALIA ARRANT DIRECTOR OF COACHING GIRLS 40.00 X 132780 0 4200 LEIGHTON O'BRIEN TECHNICAL DIRECTOR 40.00 X 132002 0 4200 TODD JOHNSON EXECUTIVE DIRECTOR 10.00 X 75892 0 0 KAELEN ARAMAKI DIRECTOR OF OPERATIONS 30.00 X 46290 0 0 JOHN WILSON PRESIDENT 10.00 X X 0 0 0 KIMBERLY ORNDORFF SECRETARY 10.00 X X 0 0 0 BRADEN PENHOET VP OPERATIONS 5.00 X 0 0 0 JEFF SELBY VP DEVELOPMENT 5.00 X 0 0 0 MARILYNN MONTENEGRO VP COMMUNICATION 10.00 X 0 0 0 BRIAN RECKLING COMMUNITY RELATIONS 10.00 X 0 0 0 JEFF HEMMEN MEMBER AT LARGE 10.00 X 0 0 0 386964 0 8400 2 0 0 0 0 75507 75507 PLAYER FEES 711210 3283049 3283049 TOURNAMENTS AND CAMPS 711210 564333 564333 3847382 385 385 869 869 35111 21079 14032 14032 70760 29633 41127 41127 MISCELLANEOUS 900099 14719 14719 14719 3994021 3847382 0 71132 2100 2100 123494 123494 529403 529403 1039961 1039961 57985 57985 205705 205705 3318 3318 26687 26687 223234 223234 6302 6302 17487 17487 17143 10492 6651 490550 456842 33708 861426 861426 21589 21589 6199 6199 6970 6970 TOURNAMENT AND LEAGUE F 255277 255277 HOME TOURNAMENT AND CAM 72159 72159 EQUIPMENT AND COVID SUP 51016 51016 TRYOUT EXPENSES 3209 3209 29528 29528 4050742 3943420 107322 0 143718 380462 908503 753124 75846 3351 121066 29890 12220 8855 17670 1261339 1151256 109604 114514 308700 0 8047 224118 316747 X 1037221 834509 1037221 834509 1261339 1151256 -56721 -145991 0 X 0 0 0 X 8322 21984 76318 20939 75507 203070 3015326 3056515 3965687 813458 3953253 14804239 3023648 3078499 4042005 834397 4028760 15007309 0 9553 9553 9553 9553 14997756 210 351 548 6064 1254 8427 210 351 548 6064 1254 8427 192 14719 14911 3023858 3078850 4042553 840653 4044733 15030647 0.99780 0.99940 0.00060 0.00060 X SCHEDULE A, PART III, SECTION A, COLUMN D: THE ORGANIZATION CHANGED ITS FISCAL YEAR FROM 1/1 - 12/31 TO 5/1 - 4/30. COLUMN E REFLECTS FISCAL YEAR 5/1/19 - 4/30/20. COLUMN D REFLECTS FISCAL YEAR (SHORT YEAR) 1/1/19 - 4/30/19. COLUMN C REFLECTS FISCAL YEAR 1/1/18 - 12/31/18. COLUMN B REFLECTS 1/1/17 - 12/31/17. COLUMN A REFLECTS FISCAL YEAR 1/1/16 - 12/31/16. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29890 12220 17670 17670 CARES DEFERRED PR TAXES 8047 8047 GOLF TOURNAMENT 15159 15159 4905 6264 1980 182 TEAM FUNDRAISERS 19952 19952 430 7318 35111 35111 4905 6264 2410 7500 21079 14032 70760 21020 3880 212 4521 1 0.99780 70760 21020 3880 212 4521 29633 41127 WA 1 0 0 0 1.00000 CHARLES COLLINS 7102 127TH PL SE NEWCASTLE WA 98056 0 0 1 FINANCIAL AID/SCHOLARSHIP 97 120950 BOOK FEE WAIVER UNIFORM FINANCIAL AID/SCHOLARSHIP 6 2544 BOOK FEES PAID PART I, LINE 2: REQUIREMENTS TO QUALIFY FOR FINANCIAL AID (ALL FORMS ARE REQUIRED AT THE TIME OF APPLICATION): COPY OF THE COMPETED 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. JOHN WILSON PRESIDENT 2825 CHILD FEE WAIVER KIM ORNDORFF SECRETARY 2825 CHILD FEE WAIVER BRADEN PENHOET VP OPERATIONS 2825 CHILD FEE WAIVER BRIAN RECKLING COMMUNITY RELATIONS 2825 CHILD FEE WAIVER MARILYNN MONTENEGRO VP COMMUNICATIONS 2825 CHILD FEE WAIVER JEFF HEMMEN MEMBER AT LARGE 2825 CHILD FEE WAIVER JEFF SELBY VP DEVELOPMENT 2825 CHILD FEE WAIVER 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 THE PRESIDENT AND BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C NO CONFLICT OF INTERESTS HAVE BEEN REPORTED. EACH PERSON WHO IS DEEMED TO HAVE SUBSTANTIAL INFLUENCE OVER PACNW SHALL SIGN AN ANNUAL DISCLOSURE STATEMENT WHICH AFFIRMS THAT THE PERSON HAS RECEIVED A COPY OF THIS CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTOOD THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY, AND DISCLOSES ANY DIRECT OR INDIRECT AFFILIATIONS. ALL ANNUAL DISCLOSURE STATEMENTS SHALL BE SUBMITTED TO THE SECRETARY OF PACNW AND FILED WITH THE MINUTES OF THE FIRST MEETING OF THE BOARD OF DIRECTORS HELD EACH YEAR. 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.