FORM 1023-EZ for CASCADE FAMILY BIBLE CONFERENCE

Field Data
EIN 47-3712758
Case Number EO-2015112-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASCADE FAMILY BIBLE CONFERENCE
Organization’s Mailing Address 14214 NE 62ND STREET
City REDMOND
State WA
ZIP 98052
Accounting period End 12
Primary contact name DEAN DOUMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEAN DOUMA
TREASURER
14214 NE 62ND STREET
REDMOND WA 98052

Officer/Director/Trustee Two

ROB JANSONS
PRESIDENT
15637 LAKEVIEW AVE SE
MONROE WA 98272

Officer/Director/Trustee Three

CARRIE VISSER
SECRETARY
8499 DOUBLE DITCH RD
LYNDEN WA 98264

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/1999
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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