FORM 1023-EZ for PROVIDENCE FOUNDATION FOR WOMEN ANDCHILDREN

Field Data
EIN 86-2364549
Case Number EO-2021096-001477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVIDENCE FOUNDATION FOR WOMEN ANDCHILDREN
Organization’s Mailing Address 8723 57TH DR NE UNIT B
City MARYSVILLE
State WA
ZIP 98270
Accounting period End 3
Primary contact name NUSRAT BHATTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NUSRAT BHATTI
DIRECTOR
8723 57TH DR NE UNIT B
MARYSVILLE WA 98270-3211

Officer/Director/Trustee Two

SHEILA ERFAN
INITIAL BOARD OF DIRECTORS
8723 57TH DR NE UNIT B
MARYSVILLE WA 98270-3211

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 NUSRAT BHATTI
Signature Title DIRECTOR
Signature Date 3/10/2021

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