FORM 1023-EZ for KING COUNTY INCIDENT SUPPORT TEAM

Field Data
EIN 46-3114685
Case Number EO-2019112-000471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KING COUNTY INCIDENT SUPPORT TEAM
Organization’s Mailing Address 277 BELLEVUE WAY NE BOX 933
City BELLEVUE
State WA
ZIP 98004-5721
Accounting period End 6
Primary contact name GABRIEL MARCUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GABRIEL MARCUS
PRESIDENT
1702 DEXTER AVE
SEATTLE WA 98014

Officer/Director/Trustee Two

PAUL DAVISON
OPERATIONS DIRECTOR
301 106TH AVE SE
BELLEVUE WA 98004

Officer/Director/Trustee Three

BELINDA CUMMINS
SECRETARY
22025 SE 268TH ST
MAPLE VALLEY WA 98038-7445

Officer/Director/Trustee Four

BARB MEADE
TRAINING DIRECTOR
411 NW 56TH ST
SEATTLE WA 98107

Organization’s website HTTP://WWW.KCIST.ORG/
Organization’s email PRESIDENT@KCIST.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/13
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GABRIEL MARCUS
Signature Title PRESIDENT
Signature Date 4/18/19
EIN 46-3114685
Case Number EO-2014357-000055
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KING COUNTY INCIDENT SUPPORT TEAM
Organization’s Mailing Address 227 BELLEVUE WAY NE BOX 933
City BELLEVUE
State WA
ZIP 98004-5721
Accounting period End 6
Primary contact name JOSH GANA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSHUA GANA
PRESIDENT
1525 NW 57TH ST UNIT 527
SEATTLE WA 98107

Officer/Director/Trustee Two

AMEETA CHAINANI
SECRETARY/TREASURER
12207 NE 139TH PL
KIRKLAND WA 98034

Officer/Director/Trustee Three

GABRIEL MARCUS
TRAINING DIRECTOR
5403 LAKEMONT BLVD SE
BELLEVUE WA 98006

Officer/Director/Trustee Four

PAUL DAVISON
OPERATIONS DIRECTOR
301 106TH AVE SE
BELLEVUE WA 98004

Organization’s website HTTP://KCSARA.ORG/UNITS/KING_COUNTY_SEARCH_AND_RESCUE_INCIDENT_SUPPORT_TEAM/
Organization’s email PRESIDENT@KCIST.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
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
Signature Title
Signature Date

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