FORM 1023-EZ for NORTHWEST MENS HEALTH DEFENSE

Field Data
EIN 47-1986616
Case Number EO-2014280-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST MENS HEALTH DEFENSE
Organization’s Mailing Address 15600 NE 8TH SUITE B1 PMB 704
City BELLEVUE
State WA
ZIP 98008
Accounting period End 12
Primary contact name DAVID MCCLURE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID MCCLURE
CHAIRMAN/PRESIDENT
220 168TH AVE NE
BELLEVUE WA 98008

Officer/Director/Trustee Two

ALAN FEUCHT
SECRETARY/TREASURER
17033 NE 166TH ST
WOODINVILLE WA 98072

Organization’s website
Organization’s email CONTACT@NWMHD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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