FORM 1023-EZ for 296 MU PSI CHAPTER UNIVERSITY OF WASHINGTON - BOTHELL

Field Data
EIN 46-2850831
Case Number EO-2017153-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 296 MU PSI CHAPTER UNIVERSITY OF WASHINGTON - BOTHELL
Organization’s Mailing Address 18115 CAMPUS WAY NE
City BOTHELL
State WA
ZIP 98011-8246
Accounting period End 4
Primary contact name RON TILDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RON TILDEN
CO-PRESIDENT FACULTY ADVISOR
18115 CAMPUS WAY NE
BOTHELL WA 98011-8246

Officer/Director/Trustee Two

DEBORAH MEDLAR
CO-PRESIDENT FACULTY ADVISOR
18115 CAMPUS WAY NE
BOTHELL WA 98011-8246

Officer/Director/Trustee Three

PAUL POLINSKI
CO-PRESIDENT FACULTY ADVISOR
18115 CAMPUS WAY NE
BOTHELL WA 98011-8246

Organization’s website WWW.UWBBAP.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2008
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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 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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