FORM 1023-EZ for JEFFERSON COUNTY IMMIGRANT RIGHTS ADVOCATES

Field Data
EIN 82-3191942
Case Number EO-2017333-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFFERSON COUNTY IMMIGRANT RIGHTS ADVOCATES
Organization’s Mailing Address PO BOX 647
City PORT TOWNSEND
State WA
ZIP 98368
Accounting period End 12
Primary contact name LIBBY PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIBBY PALMER
CHAIR, BOARD OF DIRECTORS
2336 KUHN STREET
PORT TOWNSEND WA 98368

Officer/Director/Trustee Two

SHEILA K
DIRECTOR, TREASURER
5150 SHERIDAN STREET
PORT TOWNSEND WA 98368

Officer/Director/Trustee Three

KATHRYN FRANCO
DIRECTOR, VICE-CHAIR
40 QUEETS PLACE
PORT TOWNSEND WA 98368

Officer/Director/Trustee Four

KATHLEEN HOLT
DIRECTOR, SECRETARY
2910 KIMBALL COURT UNIT 8
PORT TOWNSEND WA 98368

Officer/Director/Trustee Five

JEAN WALAT
DIRECTOR, AT LARGE
811 E STREET
PORT TOWNSEND WA 98368

Organization’s website
Organization’s email JCIRAWA@GMAIL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P84 - Ethnic, Immigrant Centers, Services
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 Yes
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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