FORM 1023-EZ for GLASS TO SAND AT LAKE CHELAN

Field Data
EIN 84-1734556
Case Number EO-2019135-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLASS TO SAND AT LAKE CHELAN
Organization’s Mailing Address 944 GREEN AVENUE
City MANSON
State WA
ZIP 98831
Accounting period End 12
Primary contact name SUSAN B CLAUSEN SEC-TREAS SUPERVISO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN L CLAUSEN
PRES-TREAS
944 GREEN AVENUE
MANSON WA 98831

Officer/Director/Trustee Two

DEVYN SMITH
V PRES-SEC
181 DIVISION ST- P O BOX 871
MANSON WA 98831

Officer/Director/Trustee Three

BRUCE A CLAUSEN
PROJECT SUPERVISOR
944 GREEN AVENUE
MANSON WA 98831

Officer/Director/Trustee Four

SUSAN B CLAUSEN
SEC-TREAS SUPERVISOR
653 WAPATO WAY
MANSON WA 98831

Organization’s website
Organization’s email GLASSTOSANDLC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C27 - Recycling Programs
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 SUSAN B CLAUSEN
Signature Title SEC-TREAS SUPERVISOR
Signature Date 5/13/19

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