FORM 1023-EZ for CLALLAM COUNTY 4-H LEADERS COUNCIL-WSU 4-H YOUTH DEVELOPMENT GEN 5967

Field Data
EIN 27-0195757
Case Number EO-2017321-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLALLAM COUNTY 4-H LEADERS COUNCIL-WSU 4-H YOUTH DEVELOPMENT GEN 5967
Organization’s Mailing Address 223 E 4TH STREET STE 15
City PORT ANGELES
State WA
ZIP 98362
Accounting period End 9
Primary contact name JENNIFER SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANON HEISTAND
PRESIDENT
80 FINDLEY RD
PORT ANGELES WA 98362

Officer/Director/Trustee Two

CRYSTAL BERRY
VICE PRESIDENT
364 FINN HALL RD
PORT ANGELES WA 98362

Officer/Director/Trustee Three

CYNDIE STUMBAUGH
TREASURER
1005 TOWNE RD
SEQUIM WA 98382

Officer/Director/Trustee Four

RUSSELLE GRAF
SECRETARY
518 E AHLVERS RD
PORT ANGELES WA 98362

Officer/Director/Trustee Five

JENNIFER SCHMIDT
DIRECTOR
223 E 4TH STREET STE 15
PORT ANGELES WA 98362

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/1965
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
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 No
One Third Support Gifts No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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