FORM 1023-EZ for NAMI SOUTH KING COUNTY

Field Data
EIN 91-1322058
Case Number EO-2015268-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI SOUTH KING COUNTY
Organization’s Mailing Address 515 W HARRISON ST SUITE 215
City KENT
State WA
ZIP 98032
Accounting period End 12
Primary contact name STELA RAJIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID EUBANK
PRESIDENT, DIRECTOR
515 W HARRISON ST SUITE 215
KENT WA 98032

Officer/Director/Trustee Two

ANNE MAHONEY
SECRETARY, DIRECTOR
515 W HARRISON ST SUITE 215
KENT WA 98032

Officer/Director/Trustee Three

STELA RAJIC
TREASURER, DIRECTOR
515 W HARRISON ST SUITE 215
KENT WA 98032

Officer/Director/Trustee Four

AILEEN FINK
DIRECTOR
515 W HARRISON ST SUITE 215
KENT WA 98032

Officer/Director/Trustee Five

LISA MOORE
DIRECTOR
515 W HARRISON ST SUITE 215
KENT WA 98032

Organization’s website WWW.NAMISKC.ORG
Organization’s email NAMISKC@QWESTOFFICE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/1985
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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