FORM 1023-EZ for DEMENTIA SINGALONG THERAPY PROGRAM

Field Data
EIN 83-3442931
Case Number EO-2019316-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEMENTIA SINGALONG THERAPY PROGRAM
Organization’s Mailing Address 1211 BANCROFT ST
City BELLINGHAM
State WA
ZIP 98225
Accounting period End 12
Primary contact name CHERYL HODGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL HODGE
PRESIDENT
APT 4
BELLINGHAM WA 98225

Officer/Director/Trustee Two

DYLAN HODGE
FINANCIAL ADVISOR
3406 GRAND BLVD - APT D
VANCOUVER WA 98661

Officer/Director/Trustee Three

DUNCAN SAUNDERS
MUSIC THERAPY ADVISER
6132 DELLA DR
FERNDALE WA 98248

Officer/Director/Trustee Four

BODRIN LINDSEY
SENIOR ACTIVITIES ADVISER
2600 OLD FAIRHAVEN PARKWAY
BELLINGHAM WA 98225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G48 - Brain Disorders
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 Yes
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 CHERYL HODGE
Signature Title PRESIDENT
Signature Date 11/7/19

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