FORM 1023-EZ for SHELTON HEALTH AND RECREATION CENTER
| Field | Data |
|---|---|
| EIN | 81-3736171 |
| Case Number | EO-2016256-000278 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SHELTON HEALTH AND RECREATION CENTER |
| Organization’s Mailing Address | 236 W BIRCH ST |
| City | SHELTON |
| State | WA |
| ZIP | 98584 |
| Accounting period End | 12 |
| Primary contact name | ROBERT D WILSON-HOSS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JULIE NICHOLS
DIRECTOR
600 W RAILROAD AVE STE 300
SHELTON WA 98584
Officer/Director/Trustee Two
JACQUIE MACALEVY
DIRECTOR
100 E NORTHERN SKY DR
SHELTON WA 98584
Officer/Director/Trustee Three
LISA WOODARD
DIRECTOR
2307 OLYMPIC HIGHWAY N
SHELTON WA 98584
Officer/Director/Trustee Four
ROBERT WILSON-HOSS
DIRECTOR
236 W BIRCH ST
SHELTON WA 98584
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/31/2016 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N31 - Community Recreational Centers |
| 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 | Yes |
| 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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