FORM 1023-EZ for POGS IHS

Field Data
EIN 46-3813741
Case Number EO-2015331-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POGS IHS
Organization’s Mailing Address 15500 SIMONDS ROAD NE
City KENMORE
State WA
ZIP 98028
Accounting period End 7
Primary contact name RICHARD KOBYLKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD KOBYLKA
PRESIDENT
15500 SIMONDS ROAD NE
KENMORE WA 98028

Officer/Director/Trustee Two

AIMEE TUCKER
VICE PRESIDENT
15500 SIMONDS ROAD NE
KENMORE WA 98028

Organization’s website HTTP://WWWNEW.NSD.ORG/DOMAIN/3016
Organization’s email POGSIHS@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 No
One Third Support Gifts Yes
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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