FORM 1023-EZ for MAKERLAB NW

Field Data
EIN 81-2933963
Case Number EO-2017289-000058
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAKERLAB NW
Organization’s Mailing Address 23931 HWY 99 STE 101
City EDMONDS
State WA
ZIP 98026
Accounting period End 12
Primary contact name EMILY KELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY KELTON
PRESIDENT
19022 ASHWORTH AVE N
SHORELINE WA 98133

Officer/Director/Trustee Two

SAMUEL HIGHTOWER
VICE PRESIDENT
16619 LARCH WAY APT F303
RENTON WA 98037

Officer/Director/Trustee Three

JESSICA MCGEE
SECRETARY
9008 16TH PL SE
LAKE STEVENS WA 98258

Officer/Director/Trustee Four

ALEEN YAMASAKI
TREASURER
23502 EDMONDS WAY B306
EDMONDS WA 98026

Organization’s website WWW.MAKERLABNW.ORG
Organization’s email INFO@MAKERLABNW.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
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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