FORM 1023-EZ for WASHINGTON VETERANS WILL CLINIC

Field Data
EIN 47-1867149
Case Number EO-2016326-000028
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WASHINGTON VETERANS WILL CLINIC
Organization’s Mailing Address PO BOX 8228
City SPOKANE
State WA
ZIP 99203
Accounting period End 12
Primary contact name JACOB BRENNAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB BRENNAN
DIRECTOR / PRESIDENT / TREASURER
717 W SPRAGUE AVE STE 1600
SPOKANE WA 99201

Officer/Director/Trustee Two

JORDAN MILLER
DIRECTOR / SECRETARY
2600 CHESTER KIMM RD
WENATCHEE WA 98801

Officer/Director/Trustee Three

ROBIN HAYNES
DIRECTOR
11404 E SPRAGUE AVE
SPOKANE VALLEY WA 99206

Officer/Director/Trustee Four

BETH BRATTON
DIRECTOR
517 N MISSION STREET SUITE 2A
WENATCHEE WA 98807

Officer/Director/Trustee Five

COURTNEY GARCEA
DIRECTOR
818 W RIVERSIDE AVE NO 250
SPOKANE WA 99201

Organization’s website WWW.WAVETSWILLCLINIC.COM
Organization’s email ADMIN@WAVETSWILLCLINIC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I80 - Legal Services
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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