FORM 1023-EZ for MOXEE CITY BLOCK WATCH

Field Data
EIN 84-3182850
Case Number EO-2019273-000421
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOXEE CITY BLOCK WATCH
Organization’s Mailing Address 102 S ZEUS ST
City MOXEE
State WA
ZIP 98936
Accounting period End 12
Primary contact name JAN HUTCHINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN HUTCHINSON
PRESIDENT
102 S ZEUS ST
MOXEE WA 98936

Officer/Director/Trustee Two

LEANNE MULHAIR
VICE PRES/
102 S ZEUS ST
MOXEE WA 98936

Officer/Director/Trustee Three

LORENE THAXTON
SECTY-TREAS
102 S ZEUS ST
MOXEE WA 98936

Organization’s website
Organization’s email KATZ244@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
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 JAN HUTCHINSON
Signature Title PRESIDENT
Signature Date 9/27/19

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