FORM 1023-EZ for WASHINGTON SYNERGY 1

Field Data
EIN 83-1802262
Case Number EO-2019311-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHINGTON SYNERGY 1
Organization’s Mailing Address 22643 SE 271ST ST
City MAPLE VALLEY
State WA
ZIP 98038
Accounting period End 7
Primary contact name CURTIS ELLIOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CURTIS ELLIOTT
PRESIDENT
22643 SE 271ST ST
MAPLE VALLEY WA 98038

Officer/Director/Trustee Two

BRAD DRUMMOND
VICE PRESIDENT
23622 SE 267TH PL
MAPLE VALLEY WA 98038

Officer/Director/Trustee Three

STACEY ELLIOTT
SECRETARY
22643 SE 271ST ST
MAPLE VALLEY WA 98038

Organization’s website WWW.WASHINGTONSYNERGY.COM
Organization’s email CURTIS@WASHINGTONSYNERGY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CURTIS ELLIOTT
Signature Title PRESIDENT
Signature Date 11/5/19

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