FORM 1023-EZ for NEIGHBORS IN MOTION

Field Data
EIN 82-4422872
Case Number EO-2018047-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEIGHBORS IN MOTION
Organization’s Mailing Address 701 FIFTH AVE - 4400
City SEATTLE
State WA
ZIP 98104-7031
Accounting period End 12
Primary contact name ROBERT OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES STANTON
DIRECTOR AND PRESIDENT
C/O 701 FIFTH AVE - 4400
SEATTLE WA 98104-7031

Officer/Director/Trustee Two

JEFFREY KOONTZ
DIRECTOR AND VICE PRESIDENT
C/O 701 FIFTH AVE - 4400
SEATTLE WA 98104-7031

Officer/Director/Trustee Three

KIRK GRIFFIN
DIRECTOR AND VICE PRESIDENT
C/O 701 FIFTH AVE - 4400
SEATTLE WA 98104-7031

Officer/Director/Trustee Four

ROBERT OLSON
DIRECTOR AND SECRETARY
C/O 701 FIFTH AVE - 4400
SEATTLE WA 98104-7031

Officer/Director/Trustee Five

MARK CLAUSEN
DIRECTOR AND TREASURER
C/O 701 FIFTH AVE - 4400
SEATTLE WA 98104-7031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
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 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 ROBERT OLSON
Signature Title DIRECTOR AND SECRETARY
Signature Date 2/14/18

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