| Field | Data |
|---|---|
| EIN | 82-1677257 |
| Case Number | EO-2017170-000298 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PACIFIC NORTHWEST SUSTAINABLE MEDICINE A NFP NATUROPATHIC CLINIC NFP |
| Organization’s Mailing Address | 420 5TH AVENUE S SUITE 106 |
| City | EDMONDS |
| State | WA |
| ZIP | 98020-3464 |
| Accounting period End | 12 |
| Primary contact name | BETHANY GLYNN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BETHANY GLYNN
DIRECTOR AND PRESIDENT
24108 52ND AVENUE W
MOUNTLAKE TERRACE WA 98043-5612
BRIGID LUNDER
DIRECTOR AND SECRETARY
23003 LAKEVIEW DRIVE UNIT 207
MOUNTLAKE TERRACE WA 98043-2363
IAIN GLYNN
TREASURER
24108 52ND AVENUE W
MOUNTLAKE TERRACE WA 98043-5612
SASHA LARDIE
DIRECTOR
1500 207TH AVENUE NE
SAMMAMISH WA 98074-6679
| Organization’s website | WWW.PNWSUSTAINABLEMEDICINE.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/7/2017 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E30 - Health Treatment Facilities, Primarily Outpatient |
| 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 | |
| Signature Title | |
| Signature Date |
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