FORM 1023-EZ for THURSTON COUNTY DISASTER ASSISTANCERESPONSE TEAM

Field Data
EIN 82-2838599
Case Number EO-2019071-000665
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THURSTON COUNTY DISASTER ASSISTANCERESPONSE TEAM
Organization’s Mailing Address 9251 TILLEY ROAD SOUTH
City OLYMPIA
State WA
ZIP 98512
Accounting period End 12
Primary contact name SHANE INMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE INMAN
PRESIDENT
2815 LILLY RD NE
OLYMPIA WA 98506

Officer/Director/Trustee Two

PATRICK CONESA
VICE PRESIDENT
1424 BRITTANY LN NE APT 0101
LACEY WA 98516

Officer/Director/Trustee Three

WILLIAM GRESHAM
TRUSTEE
7739 MCKINLEY LOOP NE
LACEY WA 98516

Officer/Director/Trustee Four

STEPHANIE CHRISTOPHERSON
SECRETARY
1533 LILLY RD NE
OLYMPIA WA 98506

Officer/Director/Trustee Five

PAUL PECK
TRUSTEE
1140 QUINCE ST NE
OLYMPIA WA 98506

Organization’s website
Organization’s email SLINMAN87@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/13
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 No
Correctness Declaration Yes
Signature Name SHANE INMAN
Signature Title PRESIDENT
Signature Date 3/7/19

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