FORM 1023-EZ for WILLIAM BLOUNT HIGH SCHOOL ALUMNI ASSOCIATION

Field Data
EIN 84-2821139
Case Number EO-2019238-000693
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLIAM BLOUNT HIGH SCHOOL ALUMNI ASSOCIATION
Organization’s Mailing Address 5722 ROOSEVELT WAY NE
City SEATTLE
State WA
ZIP 98105-2740
Accounting period End 12
Primary contact name RICHARD BRADLEY FARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD FARR
PRESIDENT
5722 ROOSEVELT WAY NE
SEATTLE WA 98105-2740

Officer/Director/Trustee Two

ASHLEY FONTENOT
SECRETARY
1254 SEVEN OAKS LN
MARYVILLE TN 37801-9594

Officer/Director/Trustee Three

OLIVIA MCKOWN
TREASURER
108 BALTRUSOL CT
FRANKFORT KY 40601-8282

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD FARR
Signature Title PRESIDENT
Signature Date 8/23/19

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