FORM 1023-EZ for DECATUR ISLAND EMERGENCY RESOURCE ASSOCIATION

Field Data
EIN 47-4088114
Case Number EO-2015208-000442
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DECATUR ISLAND EMERGENCY RESOURCE ASSOCIATION
Organization’s Mailing Address 32 DECATUR ISLAND
City ANACORTES
State WA
ZIP 98221-9402
Accounting period End 12
Primary contact name JANE FANTEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT TAYLOR
TREASURER
6520 47TH AVENUE NE
SEATTLE WA 98115

Officer/Director/Trustee Two

LESLIE TREGILLUS
VICE PRESIDENT
3216 S DOSE TERRACE
SEATTLE WA 98144

Officer/Director/Trustee Three

JANE FANTEL
PRESIDENT AND SECRETARY
32 DECATUR ISLAND
ANACORTES WA 98221-9402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/2015
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: 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 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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