FORM 1023-EZ for FOSTER SUPPORTS OF JEFFERSON COUNTY

Field Data
EIN 82-2628650
Case Number EO-2017317-000491
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOSTER SUPPORTS OF JEFFERSON COUNTY
Organization’s Mailing Address 1505 MADISON STREET
City PORT TOWNSEND
State WA
ZIP 98368-5310
Accounting period End 12
Primary contact name ELSA GOLTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELSA GOLTS
DIRECTOR AND CHAIR
1505 MADISON STREET
PORT TOWNSEND WA 98368-5310

Officer/Director/Trustee Two

MORGAN HANNA
DIRECTOR AND VICE CHAIR
835 CALHOUN
PORT TOWNSEND WA 98368-5310

Officer/Director/Trustee Three

ELLEN PETERSON
DIRECTOR AND SECRETARY
447 BYWATER WAY
PORT LUDLOW WA 98365-4528

Officer/Director/Trustee Four

REJANE MINTZ
DIRECTOR AND TREASURER
270 SNAGSTEAD WAY
PORT TOWNSEND WA 98368-5310

Officer/Director/Trustee Five

LOIS STANFORD
DIRECTOR
4790 MAGNOLIA STREET
PORT TOWNSEND WA 98368-5310

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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