FORM 1023-EZ for DOWN SYNDROME SOCIETY OF GRANT COUNTY

Field Data
EIN 46-4286086
Case Number EO-2015100-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOWN SYNDROME SOCIETY OF GRANT COUNTY
Organization’s Mailing Address 218 ROAD I-7 NE
City MOSES LAKE
State WA
ZIP 98837
Accounting period End 12
Primary contact name KERRY ARONSOHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KERRY ARONSOHN
PRESIDENT
218 ROAD I-7 NE
MOSES LAKE WA 98837

Officer/Director/Trustee Two

LISA BOORMAN
VICE PRESIDENT
5759 ROAD 6-9 NE
MOSES LAKE WA 98837

Officer/Director/Trustee Three

BOBBY HASTINGS
SECRETARY
214 BEALE AVE
MOSES LAKE WA 98837

Officer/Director/Trustee Four

KANDACE KLENZ
TREASURER
6448 CHAPPARAL DRIVE
MOSES LAKE WA 98837

Officer/Director/Trustee Five

MARSHA LEAVITT
VOTING BOARD MEMBER
21587 ROAD 4 SE
WARDEN WA 98857

Organization’s website WWW.DSSGC.ORG
Organization’s email CBBUDDYWALK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G25 - Down Syndrome
Organization’s purpose Charitable: Yes
Religious: No
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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