FORM 1023-EZ for PIERCE COUNTY PACKERS 4 - H

Field Data
EIN 38-4002504
Case Number EO-2019242-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIERCE COUNTY PACKERS 4 - H
Organization’s Mailing Address 3602 PACIFIC AVE SUITE 200
City TACOMA
State WA
ZIP 98413
Accounting period End 9
Primary contact name JANA FERRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAUDIA FREY
CLUB LEADER
28411 SR 706 E
TACOMA WA 98304

Officer/Director/Trustee Two

CALEB CAMPBELL
ASSISTANT CLUB LEADER
496 LARSON ST W
EATONVILLE WA 98328-7002

Officer/Director/Trustee Three

JANA FERRIS
TRUSTEE
1728 W MARINE VIEW DR STE 200
EVERETT WA 98201-2094

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/15
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANA FERRIS
Signature Title TRUSTEE
Signature Date 8/28/19

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