FORM 1023-EZ for THE IMPERIAL SOVEREIGN COURT OF THEEVERGREEN EMPIRE

Field Data
EIN 46-4194375
Case Number EO-2014251-000536
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE IMPERIAL SOVEREIGN COURT OF THEEVERGREEN EMPIRE
Organization’s Mailing Address PO BOX 5809
City BELLINGHAM
State WA
ZIP 98227-5809
Accounting period End 12
Primary contact name BRIAN SPENCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN SPENCER
PRESIDENT
3 BASIN VIEW CIR
BELLINGHAM WA 98229

Officer/Director/Trustee Two

ALECIA FORRESTER
VICE PRESIDENT
2501 E ST APT 802
BELLINGHAM WA 98225

Officer/Director/Trustee Three

JOEL HUFFAKER
TREASURER
3 BASIN VIEW CIR
BELLINGHAM WA 98229

Officer/Director/Trustee Four

PETER ROLSTAD
OFFICER
2400 DONOVAN UNIT 56
BELLINGHAM WA 98225

Organization’s website WWW.EVERGREENEMPIRE.ORG
Organization’s email CONTACT@EVERGREENEMPIRE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2005
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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