FORM 1023-EZ for PIERCE COUNTY FALL PREVENTION COALITION

Field Data
EIN 84-2217497
Case Number EO-2019182-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIERCE COUNTY FALL PREVENTION COALITION
Organization’s Mailing Address PO BOX 7410
City BONNEY LAKE
State WA
ZIP 98391
Accounting period End 12
Primary contact name BRYANA BEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYANA BEAN
ATTORNEY
PO BOX 7410
BONNEY LAKE WA 98391

Officer/Director/Trustee Two

JEANANNE SMITH
OFFICER
10205 44TH AVE E
TACOMA WA 98446

Officer/Director/Trustee Three

DENA SANTOS
OFFICER
MS 10-04 1149 MARKET ST
TACOMA WA 98402

Officer/Director/Trustee Four

KARMELA PALMER
OFFICER
MS 53-11 11567 CANTERWOOD BLVD NW
GIG HARBOR WA 98332

Officer/Director/Trustee Five

JULIE LEY
OFFICER
MS 41-65 11315 BRIDGEPORT WA SW
LAKEWOOD WA 98499

Organization’s website HTTPS://FALLSFREEPIERCECOUNTY.WORDPRESS.COM/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRYANA BEAN
Signature Title ATTORNEY
Signature Date 6/26/19

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