FORM 1023-EZ for PATIENT SAFETY ACTION NETWORK
| Field | Data |
|---|---|
| EIN | 84-2279903 |
| Case Number | EO-2019198-000282 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PATIENT SAFETY ACTION NETWORK |
| Organization’s Mailing Address | 3941 NE 158TH LANE |
| City | LK FOREST PK |
| State | WA |
| ZIP | 98155-6714 |
| Accounting period End | 12 |
| Primary contact name | REX JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ELIZABETH MCGIFFERT
PRESIDENT
3000 SOUTH 4TH STREET
AUSTIN TX 78704-6218
Officer/Director/Trustee Two
HELEN HASKELL
SECRETARY
155 SOUTH BULL STREET
COLUMBIA SC 29205-3257
Officer/Director/Trustee Three
YANLING YU
TREASURER
3941 NE 158TH LANE
LK FOREST PK WA 98155-6714
| Organization’s website | WWW.PATIENTSAFETYACTION.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/11/19 |
| 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: No Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | YANLING YU |
| Signature Title | TREASURER |
| Signature Date | 7/15/19 |
Recently Saved Organizations
Click on the save icon from a search results or organization page.
Advertisement
