FORM 1023-EZ for JUST A GIRL IN CAMAS

Field Data
EIN 47-3266810
Case Number EO-2015061-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUST A GIRL IN CAMAS
Organization’s Mailing Address 3457 NW ENDICOTT STREET
City CAMAS
State WA
ZIP 98607
Accounting period End 12
Primary contact name ALICIA KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALICIA KING
DIRECTOR
3457 NW ENDICOTT STREET
CAMAS WA 98607

Officer/Director/Trustee Two

MICHAEL KING
OFFICER
3457 NW ENDICOTT
CAMAS WA 98607

Officer/Director/Trustee Three

HEATHER KESMODEL
OFFICER
3043 NW 46TH AVENUE
CAMAS WA 98607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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