FORM 1023-EZ for MOSES LAKE LEAD

Field Data
EIN 87-1826549
Case Number EO-2021207-000460
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSES LAKE LEAD
Organization’s Mailing Address 11804 RD 5-6 NE
City MOSES LAKE
State WA
ZIP 98837-7511
Accounting period End 12
Primary contact name DEBORAH DORAN-MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY LEAS
DIRECTOR
4589 JOEY RD
MOSE LAKE WA 98837-9020

Officer/Director/Trustee Two

THERESA SULLIVAN
DIRECTOR
6435 1-8 ROAD NE
MOSES LAKE WA 98837-9292

Officer/Director/Trustee Three

CARALYN BESS
DIRECTOR
4062 EDWARDS DRIVE
MOSES LAKE WA 98837-9650

Officer/Director/Trustee Four

DEBORAH DORAN-MARTINEZ
DIRECTOR
PO BOX 2435
MOSES LAKE WA 98837-0750

Officer/Director/Trustee Five

RYAN HOLTERHOFF
DIRECTOR
3412 W PENNINSULA DRIVE
MOSES LAKE WA 98837-2767

Organization’s website WWW.MOSESLAKELEAD.ORG
Organization’s email MOSESLAKELEAD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH DORAN-MARTINEZ
Signature Title DIRECTOR
Signature Date 7/23/2021

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