FORM 1023-EZ for NORTH BELLEVUE COMMUNITY CENTER ADVISORY BOARD

Field Data
EIN 94-3157035
Case Number EO-2018141-000576
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH BELLEVUE COMMUNITY CENTER ADVISORY BOARD
Organization’s Mailing Address 4063 - 148TH AVE NE
City BELLEVUE
State WA
ZIP 98007
Accounting period End 12
Primary contact name DAN LASSITER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EILEEN HART
PRESIDENT
237-169TH AVE NE
BELLEVUE WA 98008

Officer/Director/Trustee Two

HANNAH KIMBALL
TREASURER
16225 NORTHUP WAY
BELLEVUE WA 98008

Officer/Director/Trustee Three

MARY JANE KELLER
SECRETARY
14715 NE 5TH ST
BELLEVUE WA 98007

Officer/Director/Trustee Four

BEVERLY HEYDEN
VICE-PRESIDENT
1824 - 169TH AVE NE
BELLEVUE WA 98008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/91
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
Correctness Declaration Yes
Signature Name HANNAH KIMBALL
Signature Title TREASURER
Signature Date 5/18/18

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