FORM 1023-EZ for PACIFIC NORTHWEST CHAPTER USDA COALITION OF MINORITY EMPLOYEES LEGAL D

Field Data
EIN 91-1996013
Case Number EO-2020318-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PACIFIC NORTHWEST CHAPTER USDA COALITION OF MINORITY EMPLOYEES LEGAL D
Organization’s Mailing Address PO BOX 872721
City VANCOUVER
State WA
ZIP 98687
Accounting period End 12
Primary contact name EARL FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARL FORD
EXECUTIVE DIRECTOR
10501 NE 41 ST
VANCOUVER WA 98687

Officer/Director/Trustee Two

GENEVIEVE FISHER
CHIEF FINANCIAL OFFICER
9211 NE 15TH AVENUE
VANCOUVER WA 98665

Officer/Director/Trustee Three

SIDNEY CLARK
EXECUTIVE SECRETARY
3013 GRANT STREET
VANCOUVER WA 98660

Officer/Director/Trustee Four

LAWRENCE LUCAS
HONOARY CHAIR
4600 ROOSEVELT AVE
PENNSAUKEN NJ 08109

Officer/Director/Trustee Five

JANANDA FISHER
DIRECTOR OF EDUCATION
10200 NE 27TH CIRCLE
VANCOUVER WA 98662

Organization’s website
Organization’s email EARLWFORDNVANCOUVER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/1999
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R12 - Fund Raising and/or Fund Distribution
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 Yes
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 Yes
Correctness Declaration Yes
Signature Name SIDNEY CLARK
Signature Title EXECUTIVE SECRETARY
Signature Date 11/9/2020

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