FORM 1023-EZ for LILY OF THE VALLEY

Field Data
EIN 47-3188566
Case Number EO-2015364-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LILY OF THE VALLEY
Organization’s Mailing Address 3021 S BYRON ST B
City SEATTLE
State WA
ZIP 98144
Accounting period End 3
Primary contact name ERIC JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC JENKINS
PRESIDENT
3021 S BYRON ST B
SEATTLE WA 98144

Officer/Director/Trustee Two

SOPHIA JENKINS
VICE PRESIDENT
3021 S BYRON ST B
SEATTLE WA 98144

Officer/Director/Trustee Three

APRIL KRUBALLY
SECRETARY
2312 S JUNEAU
SEATTLE WA 98108

Officer/Director/Trustee Four

HATTIE BRYANT
TREASURER
14401 8TH AVE SW 120
BURIEN WA 98166

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
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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