FORM 1023-EZ for OLYMPIA CAMP ABILITIES PC

Field Data
EIN 81-3697502
Case Number EO-2016246-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OLYMPIA CAMP ABILITIES PC
Organization’s Mailing Address 1618 PEAR ST NE
City OLYMPIA
State WA
ZIP 98506
Accounting period End 12
Primary contact name KEITH EDGERTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH EDGERTON
PRESIDENT, BOARD CHAIR
1618 PEAR ST NE
OLYMPIA WA 98506

Officer/Director/Trustee Two

KIIRSTEN FLYNN
VICE PRESIDENT
1618 PEAR ST NE
OLYMPIA WA 98506

Officer/Director/Trustee Three

MEG OLEARY
TREASURER
1410 CHESTNUT ST SE
OLYMPIA WA 98501

Officer/Director/Trustee Four

ALEXIS SARAH
SECUTARY
2407 OVERHULSE RD NW
OLYMPIA WA 98502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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