FORM 1023-EZ for SENIOR FALL PREVENTION INITIATIVE

Field Data
EIN 84-4215484
Case Number EO-2020022-000426
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIOR FALL PREVENTION INITIATIVE
Organization’s Mailing Address 6407 NE 202ND ST
City KENMORE
State WA
ZIP 98028-8622
Accounting period End 12
Primary contact name MILTON CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MILTON CURTIS
CHAIRMAN OF THE BOARD
6407 NE 202ND ST
KENMORE WA 98028-8622

Officer/Director/Trustee Two

MARY PAT OLEARY
VICE CHAIRMAN
1400 NW 60TH UNIT 201
SEATTLE WA 98107-2992

Officer/Director/Trustee Three

JOSH KELLY
TREASURER
8012 148TH AVE SE
NEW CASTLE WA 98059-9252

Officer/Director/Trustee Four

JEFF SCOTT
SECRETARY
2117 201ST PL SW
LYNNWOOD WA 98036-7018

Officer/Director/Trustee Five

RACHEL WHITNEY
MEMBER AT LARGE
73 RIDGECLIFF DR
RICHLAND WA 99352-9148

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: No
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 MILTON CURTIS
Signature Title CHAIRMAN OF THE BOARD
Signature Date 1/20/2020

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