FORM 1023-EZ for WASHINGTON STATE ORAL HEALTH COALITION

Field Data
EIN 91-2015190
Case Number EO-2020150-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHINGTON STATE ORAL HEALTH COALITION
Organization’s Mailing Address 400 FAIRVIEW AVE SUITE 800
City SEATTLE
State WA
ZIP 98109-5338
Accounting period End 12
Primary contact name JANE PRYJMAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN SPILLES
CHAIR
400 FAIRVIEW AVE SUITE 800
SEATTLE WA 98109-5338

Officer/Director/Trustee Two

RUSSELL MAIER
VICE CHAIR
400 FAIRVIEW AVE SUITE 800
SEATTLE WA 98109-5338

Officer/Director/Trustee Three

SARAH VANDER BEEK
SECRETARY
400 FAIRVIEW AVE SUITE 800
SEATTLE WA 98019-5338

Officer/Director/Trustee Four

GARY CHIODO
TREASURER
400 FAIRVIEW AVE SUITE 800
SEATTLE WA 98109-5338

Officer/Director/Trustee Five

MARCY BOWERS
DIRECTOR
400 FAIRVIEW AVE SUITE 800
SEATTLE WA 98109-5338

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/1999
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name LAUREN SPILLES
Signature Title CHAIR
Signature Date 5/27/2020

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