FORM 1023-EZ for SNOHOMISH COUNTY BLACK HERITAGE COMMITTEE

Field Data
EIN 27-1828264
Case Number EO-2017110-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SNOHOMISH COUNTY BLACK HERITAGE COMMITTEE
Organization’s Mailing Address PO BOX 1552
City EVERETT
State WA
ZIP 98206-1552
Accounting period End 12
Primary contact name MARY DARBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANVONIQUE REED
CHAIR MAN
7206 31ST PL NE
MARYSVILLE WA 98270

Officer/Director/Trustee Two

LOUIS HARRIS
CO-CHAIRMAN
8014 48TH PL SW
MUKILTEO WA 98275

Officer/Director/Trustee Three

MARILYN QUINCY
TREASURER
4923 VISTA PLACE
EVERETT WA 98208

Officer/Director/Trustee Four

MARY DARBY
ACTING-SECRETARY
3904 119TH PL SE
EVERETT WA 98208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2008
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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