FORM 1023-EZ for THE FATHERHOOD ACCOUNTABILITY MOVEMENT

Field Data
EIN 87-0846237
Case Number EO-2021179-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FATHERHOOD ACCOUNTABILITY MOVEMENT
Organization’s Mailing Address 18230 70TH AVE CT E
City PUYALLUP
State WA
ZIP 98375
Accounting period End 12
Primary contact name CORTEZ CHARLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORTEZ CHARLES
PRES & EXEC DIRECTOR
18230 70TH AVE CT E
PUYALLUP WA 98375

Officer/Director/Trustee Two

DEANDRA CHARLESTON
TREASURER & DIRECTOR
18230 70TH AVE CT E
PUYALLUP WA 98375

Officer/Director/Trustee Three

ALLIE STEINBERG
SECRETARY & DIRECTOR
18230 70TH AVE CT E
PUYALLUP WA 98375

Officer/Director/Trustee Four

JHITANA BALL
DIRECTOR
18230 70TH AVE CT E
PUYALLUP WA 98375

Officer/Director/Trustee Five

DURRELL GREEN
DIRECTOR
18230 70TH AVE CT E
PUYALLUP WA 98375

Organization’s website
Organization’s email CCHARLES83@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 CORTEZ CHARLES
Signature Title PRES & EXEC DIRECTOR
Signature Date 6/24/2021

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