FORM 1023-EZ for 1ST CARE EDUCATION

Field Data
EIN 32-0613810
Case Number EO-2019330-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1ST CARE EDUCATION
Organization’s Mailing Address 18226 CHUMSTICK HWY
City LEAVENWORTH
State WA
ZIP 98826
Accounting period End 10
Primary contact name JAKOB SHANK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSE FEAGIN JR
BOARD MEMBER
6590 LONG BEACH BLVD 262
LONG BEACH CA 90805

Officer/Director/Trustee Two

DON VU
BOARD MEMBER
9393 COBBLER RD
WESTMINSTER CA 92683

Officer/Director/Trustee Three

KEILAH FANENE
BOARD MEMBER
1006 S 101ST ST
SEATTLE WA 98168

Officer/Director/Trustee Four

MICHAEL WILEY
BOARD MEMBER
6050 S HARPER AVE 302
CHICAGO IL 60637

Officer/Director/Trustee Five

JAKOB SHANK
DIRECTOR
17430 AMBAUM BLVD S 8
BURIEN WA 98148

Organization’s website
Organization’s email JAKOBSHANK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JAKOB SHANK
Signature Title DIRECTOR
Signature Date 11/24/19

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