FORM 1023-EZ for PINE WINDS PRESS

Field Data
EIN 46-4821157
Case Number EO-2015049-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINE WINDS PRESS
Organization’s Mailing Address 39129 264TH AVE SE
City ENUMCLAW
State WA
ZIP 98022-6882
Accounting period End 12
Primary contact name LORENA BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS BLASCHKO
PRESIDENT
39129 264TH AVE SE
ENUMCLAW WA 98022-6882

Officer/Director/Trustee Two

MARK LAWRENCE
TREASURER
4011 SEAPORT
WEST SACRAMENTO CA 95691

Officer/Director/Trustee Three

LORENA BARNES
SECRETARY
12303 231ST AVE E
BONNEY LAKE WA 98391

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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