FORM 1023-EZ for DESTINY FOUNDATION

Field Data
EIN 81-3614904
Case Number EO-2016245-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DESTINY FOUNDATION
Organization’s Mailing Address 12513 NE 79 ST
City VANCOUVER
State WA
ZIP 98682
Accounting period End 12
Primary contact name CRYSTAL WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND JACOBSEN
DIRECTOR
12513 NE 79 ST
VANCOUVER WA 98682

Officer/Director/Trustee Two

CRYSTAL WALKER
SECRETARY
12513 NE 79 ST
VANCOUVER WA 98682

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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