FORM 1023-EZ for BURIEN COMMUNITY SUPPORT NETWORK

Field Data
EIN 85-0993158
Case Number EO-2020177-000762
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURIEN COMMUNITY SUPPORT NETWORK
Organization’s Mailing Address 258 S 156 ST APT 22
City BURIEN
State WA
ZIP 98148-1288
Accounting period End 12
Primary contact name CHARLES SCHAEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES SCHAEFER
TREASURER
258 S 156 ST APT 22
BURIEN WA 98148-1288

Officer/Director/Trustee Two

SONJA SIVESIND
COORDINATOR
2526 SW 169 PL
BURIEN WA 98166-3248

Officer/Director/Trustee Three

JEPPA HALL
COORDINATOR
410 SW 137 ST
BURIEN WA 98166-1342

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
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 CHARLES SCHAEFER
Signature Title TREASURER
Signature Date 6/23/2020

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