FORM 1023-EZ for MILLER FAMILY CHARITABLE FOUNDATION

Field Data
EIN 82-4389820
Case Number EO-2018218-000689
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILLER FAMILY CHARITABLE FOUNDATION
Organization’s Mailing Address 7102 NW OVERLOOK DR
City VANCOUVER
State WA
ZIP 98665
Accounting period End 12
Primary contact name DEBORAH JEAN MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH MILLER
DIRECTOR
7102 NW OVERLOOK DR
VANCOUVER WA 98665

Officer/Director/Trustee Two

ROGER MILLER
DIRECTOR
7102 NW OVERLOOK DR
VANCOUVER WA 98665

Officer/Director/Trustee Three

GRANT MILLER
DIRECTOR
NNU 3350 623 S UNIV BLVD
NAMPA ID 83686

Officer/Director/Trustee Four

JENNIFER MILLER
DIRECTOR
NNU 3350 S UNIV BLVD
NAMPA ID 83686

Officer/Director/Trustee Five

MELISSA POLYAKOV
DIRECTOR
PO BOX 121
LA CENTER WA 98629

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Financial transactions with officers Yes
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 No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH MILLER
Signature Title DIRECTOR
Signature Date 8/3/18

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