FORM 1023-EZ for BOTHELL BIOMEDICAL DEVICE INNOVATION ZONE
| Field | Data |
|---|---|
| EIN | 45-0712442 |
| Case Number | EO-2020212-000677 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BOTHELL BIOMEDICAL DEVICE INNOVATION ZONE |
| Organization’s Mailing Address | 18415 101ST AVE NE |
| City | BOTHELL |
| State | WA |
| ZIP | 98011 |
| Accounting period End | 12 |
| Primary contact name | MATTHEW SMITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MATTHEW SMITH
BOARD CHAIR - DIRECTOR
808 134TH ST SW - SUITE 101
EVERETT WA 98204
Officer/Director/Trustee Two
JENS QUISTGAARD
VICE CHAIR - DIRECTOR
29 NW CHERRY LOOP
SEATTLE WA 98177
Officer/Director/Trustee Three
JEANIE ASHE
BOARD SECRETARY - DIRECTOR
18415 101ST AVE NE
BOTHELL WA 98011
Officer/Director/Trustee Four
TOM CLEMENT
DIRECTOR
18628 165TH PL NE
WOODINVILLE WA 98072
Officer/Director/Trustee Five
LORI MELKERSON
DIRECTOR
11911 NORTH CREEK PARKWAY SOUTH
BOTHELL WA 98011
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/18/2010 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | U03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MATTHEW SMITH |
| Signature Title | BOARD CHAIR - DIRECTOR |
| Signature Date | 7/28/2020 |
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