FORM 1023-EZ for GRAYS HARBOR CERT
| Field | Data |
|---|---|
| EIN | 82-1561706 |
| Case Number | EO-2017202-000291 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GRAYS HARBOR CERT |
| Organization’s Mailing Address | 4762 SR 109 PO BOX 243 |
| City | MOCLIPS |
| State | WA |
| ZIP | 98562 |
| Accounting period End | 12 |
| Primary contact name | HEATHER WORLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
HEATHER WORLEY
PROGRAM MANAGER
4762 SR 109 PO BOX 243
MOCLIPS WA 98562
Officer/Director/Trustee Two
TAMMY FAIRLEY
PRESIDENT
414 DUCK LAKE DR NE
OCEAN SHORES WA 98569
Officer/Director/Trustee Three
AARON BLEDSOE
VICE PRESIDENT
326 E PIONEER AVE
MONTESANO WA 98563
Officer/Director/Trustee Four
JAMES NELSON
TREASURER
220 N MAPLE STREET
ABERDEEN WA 98520
Officer/Director/Trustee Five
CHRIS MCCAUGHAN
SECRETARY
414 DUCK LAKE DR
OCEAN SHORES WA 98569
| Organization’s website | GRAYSHARBORCERT.COM |
|---|---|
| Organization’s email | GHCCERT@AOL.COM |
| Organization Incorporated | No |
| 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 | M20 - Disaster Preparedness and Relief 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 | 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 | Yes |
| 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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