FORM 1023-EZ for ULTIMATE VISION

Field Data
EIN 82-2449425
Case Number EO-2017226-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ULTIMATE VISION
Organization’s Mailing Address 14129 SE ALLEN ROAD
City BELLEVUE
State WA
ZIP 98006-9008
Accounting period End 12
Primary contact name CLARK ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARK ROBERTS
EXECUTIVE DIRECTOR
14129 SE ALLEN ROAD
BELLEVUE WA 98006-9008

Officer/Director/Trustee Two

KARRIE ROBERTS
DIRECTOR
14129 SE ALLEN ROAD
BELLEVUE WA 98006-9008

Officer/Director/Trustee Three

MARK ONEILL
DIRECTOR
1474 DOLPHIN BAY RD UNIT 1
EASTSOUND WA 98279

Officer/Director/Trustee Four

BETTY BORDNER
DIRECTOR
1080 185TH AVENUE NE
BELLEVUE WA 98008

Officer/Director/Trustee Five

OMAR RIVAS
DIRECTOR
16532 213TH PL NE
WOODINVILLE WA 98077

Organization’s website CLARKROBERTS.ORG
Organization’s email CLARK@CLARKROBERTS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B21 - Kindergarten, Preschool, Nursery School, Early Admissions
Organization’s purpose Charitable: No
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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