FORM 1023-EZ for COALITION FOR SUSTAINABLE LAND MANAGEMENT

Field Data
EIN 86-3986780
Case Number EO-2021183-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COALITION FOR SUSTAINABLE LAND MANAGEMENT
Organization’s Mailing Address 15304 NE 181ST LOOP
City BRUSH PRAIRIE
State WA
ZIP 98606
Accounting period End 12
Primary contact name JEFFRY COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFRY COX
PRESIDENT
15304 NE 181ST LOOP
BRUSH PRAIRIE WA 98606

Officer/Director/Trustee Two

JIM FALVEY
TREASURER & SECRETARY
4112 SE 18TH AVENUE
BRUSH PRAIRIE WA 98606

Officer/Director/Trustee Three

ERIN ALLEE
DIRECTOR
25905 NE 52ND WAY
VANCOUVER WA 98682

Officer/Director/Trustee Four

SAM KIM
DIRECTOR
14915 NE 126TH AVENUE
BRUSH PRAIRIE WA 98606

Officer/Director/Trustee Five

ROGER ENTREKEN
DIRECTOR
10105 NE 180TH CIRCLE
BATTLE GROUND WA 98604

Organization’s website
Organization’s email SUSTAINABLELANDCC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 JEFFRY COX
Signature Title PRESIDENT
Signature Date 6/30/2021

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