FORM 1023-EZ for PROSTHETIC RESTORATION PROJECT A NONPROFIT CORPORATION

Field Data
EIN 84-4288371
Case Number EO-2020049-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROSTHETIC RESTORATION PROJECT A NONPROFIT CORPORATION
Organization’s Mailing Address 411 12TH AVE
City SEATTLE
State WA
ZIP 98122
Accounting period End 12
Primary contact name DOUGLAS PINKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARTH KNAPP
PRESIDENT
530 LILLY RD SE STE 100
OLYMPIA WA 98501

Officer/Director/Trustee Two

DOUGLAS PINKLEY
VICE PRESIDENT
411 12TH AVE STE 200
SEATTLE WA 98122

Officer/Director/Trustee Three

DAVID KASSIS
TREASURER
17905 35TH AVE SE B6
BOTHELL WA 98012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 DOUGLAS PINKLEY
Signature Title VICE PRESIDENT
Signature Date 2/13/2020

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