FORM 1023-EZ for WAVES OF GRACE NW

Field Data
EIN 83-1214382
Case Number EO-2019350-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAVES OF GRACE NW
Organization’s Mailing Address 9011 NE 89TH CIR
City VANCOUVER
State WA
ZIP 98662
Accounting period End 12
Primary contact name CINDY WORDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

W SAMUEL WORDEN
PRESIDENT, DIRECTOR
9011 NE 89TH CIR
VANCOUVER WA 98662

Officer/Director/Trustee Two

CINDY WORDEN
SECRETARY, DIRECTOR
9011 NE 89TH CIR
VANCOUVER WA 98662

Officer/Director/Trustee Three

CHELSEA LONG
TREASURER, DIRECTOR
9011 NE 89TH CIR
VANCOUVER WA 98662

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2019
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CINDY WORDEN
Signature Title SECRETARY, DIRECTOR
Signature Date 12/13/2019

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