FORM 1023-EZ for COMMUNITY COLLEGE LIBRARIANS AND MEDIA SPECIALISTS

Field Data
EIN 90-0994239
Case Number EO-2015251-000409
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY COLLEGE LIBRARIANS AND MEDIA SPECIALISTS
Organization’s Mailing Address SHORELINE CC 16101 GREENWOOD AVE N
City SHORELINE
State WA
ZIP 98133
Accounting period End 6
Primary contact name LESLIE POTTER-HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

C QUILL WEST
PRESIDENT
PIERCE COLLEGE 9401 FARWEST DR SW
LAKEWOOD WA 98498

Officer/Director/Trustee Two

TERESA JONES
PAST PRESIDENT
EVERETT CC 2000 TOWER ST
EVERETT WA 98201

Officer/Director/Trustee Three

LESLIE POTTER-HENDERSON
TREASURER
SHORELIINE CC 16101 GREENWOOD AVE N
SHORELINE WA 98133

Officer/Director/Trustee Four

TRACI TAYLOR
SECRETARY
237 W KELLOGG RD
BELLINGHAM WA 98226

Organization’s website HTTP://CLAMS.CTC.EDU/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
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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