FORM 1023-EZ for STOREHOUSE FOOD BANK
| Field | Data |
|---|---|
| EIN | 84-3467671 |
| Case Number | EO-2019346-000341 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | STOREHOUSE FOOD BANK |
| Organization’s Mailing Address | 17110 140TH AVENUE NE |
| City | WOODINVILLE |
| State | WA |
| ZIP | 98072 |
| Accounting period End | 12 |
| Primary contact name | RICHARD J FORSELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DELLA HAUG
PRESIDENT, DIRECTOR
15620 NE 198TH STREET
WOODINVILLE WA 98072
Officer/Director/Trustee Two
WENDY MARKHAM
DIRECTOR
20406 LITTLE BEAR CREEK ROAD 126
WOODINVILLE WA 98072
Officer/Director/Trustee Three
JOSEA HORST
VICE PRESIDENT, DIRECTOR
18614 228TH AVENUE N
WOODINVILLE WA 98077
Officer/Director/Trustee Four
DEBBIE WADA
SECRETARY
14625 NE 34TH STREET APT G22
BELLEVUE WA 98007
Officer/Director/Trustee Five
BARBARA LINCE
TREASURER
7003 134TH AVENUE NE
REDMOND WA 98052
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/15/2019 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K31 - Food Banks, Food Pantries |
| 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 | Yes |
| 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 | DELLA HAUG |
| Signature Title | PRESIDENT, DIRECTOR |
| Signature Date | 12/10/2019 |
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