| Field | Data |
|---|---|
| EIN | 47-3800418 |
| Case Number | EO-2015114-000296 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | A CHILDS PASSPORT TO HEALTH |
| Organization’s Mailing Address | 23611 MERIDIAN PL W |
| City | BOTHELL |
| State | WA |
| ZIP | 98021 |
| Accounting period End | 12 |
| Primary contact name | DIANE HANSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
MARY DENNISON
CO-PRESIDENT
22606 53RD AVE SE
BOTHELL WA 98021
DIANE HANSEN
CO-PRESIDENT
23611 MERIDIAN PL W
BOTHELL WA 98021
COREY HANSEN
TREASURER
2208 NE 75TH ST
SEATTLE WA 98115
SHANNON JACOBS
VICE PRESIDENT
21729 NE 139TH ST
WOODINVILLE WA 98077
JODY CLOVIS
SECRETARY
7742 32ND AVE NW
SEATTLE WA 98117
| Organization’s website | |
|---|---|
| Organization’s email | CHILDSPASSPORT@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/14/2015 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| 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 | 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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