FORM 1023-EZ for RURAL SENIOR HEALTH SOLUTIONS NFP
| Field | Data |
|---|---|
| EIN | 83-1760749 |
| Case Number | EO-2018274-000083 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | RURAL SENIOR HEALTH SOLUTIONS NFP |
| Organization’s Mailing Address | 10886 US HWY 12 |
| City | RANDLE |
| State | WA |
| ZIP | 98377 |
| Accounting period End | 12 |
| Primary contact name | ZORA DEGRANDPRE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ZORA DEGRANDPRE
DIRECTOR AND PRESIDENT/TREASURER
10886 US HWY 12
RANDLE WA 98377
Officer/Director/Trustee Two
CAROL BROCK
DIRECTOR AND SECRETARY
893 MIDDLE FORK ROAD
ONALASKA WA 98570
Officer/Director/Trustee Three
LAURI OBRIEN
DIRECTOR
1001 ELM STREET
CHEHALIS WA 98531
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/17/18 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P81 - Senior Centers, Services |
| 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 | 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 | ZORA DEGRANDPRE |
| Signature Title | DIRECTOR AND PRESIDENT/TREASURER |
| Signature Date | 9/27/18 |
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