FORM 1023-EZ for PNW HIGH PERFORMANCE DRESSAGE FOUNDATION

Field Data
EIN 81-4069903
Case Number EO-2016337-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PNW HIGH PERFORMANCE DRESSAGE FOUNDATION
Organization’s Mailing Address 6810 152ND AVE
City REDMOND
State WA
ZIP 98052
Accounting period End 10
Primary contact name KAREN PETTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN PETTY
PRESIDENT
6810 152ND AVE
REDMOND WA 98052

Officer/Director/Trustee Two

HEATHER BUNN
VICE PRESIDENT
733 LAKE STREET SOUTH 212
KIRKLAND WA 98033

Officer/Director/Trustee Three

PAM JONES
DIRECTOR
29826 SE ISSAQUAH FALL CITY RD
FALL CITY WA 98024

Officer/Director/Trustee Four

LORRIE TRUESS
DIRECTOR
103 CEDAR CREST LANE
BELLEVUE WA 98004

Officer/Director/Trustee Five

DENISE GAGN
SECRETARY AND TREASURER
6810 152ND AVE
REDMOND WA 98052

Organization’s website
Organization’s email PNWDRESSAGE@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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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