FORM 1023-EZ for EMBRACE

Field Data
EIN 32-0476680
Case Number EO-2017074-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMBRACE
Organization’s Mailing Address 805 BROADWAY STREET SUITE 405
City VANCOUVER
State WA
ZIP 98660-3310
Accounting period End 12
Primary contact name PARIS POWELL MELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH DESJARLAIS
PRESIDENT, EXECUTIVE DIRECTOR
111 W 29TH STREET
VANCOUVER WA 98660-2209

Officer/Director/Trustee Two

ZACH DESJARLAIS
DIRECTOR
111 W 29TH STREET
VANCOUVER WA 98660-2209

Officer/Director/Trustee Three

PARIS POWELL MELTON
TREASURER
805 SW BROADWAY SUITE 405
VANCOUVER WA 98660-3310

Officer/Director/Trustee Four

KIM KARU
DIRECTOR OF STATE RELATIONS
2007 GRANT STREET
VANCOUVER WA 98660-2444

Organization’s website HTTPS://OFFICEMOMSANDDADS.COM
Organization’s email PARIS@OFFICEMOMSANDDADS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
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 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
Signature Title
Signature Date

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