FORM 1023-EZ for PACIFIC NORTHWEST HEALTHCARE SIMULATION COLLABORATIVE
| Field | Data |
|---|---|
| EIN | 82-5005660 |
| Case Number | EO-2018204-000115 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PACIFIC NORTHWEST HEALTHCARE SIMULATION COLLABORATIVE |
| Organization’s Mailing Address | 505 BROADWAY E 315 |
| City | SEATTLE |
| State | WA |
| ZIP | 98102 |
| Accounting period End | 6 |
| Primary contact name | CARRIE WESTMORELAND MILLER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIFFANY ZYNIEWICZ
SECRETARY
19805 82ND PL W
EDMONDS WA 98026
Officer/Director/Trustee Two
PETER FORD
TREASURER
6302 N 45TH STREET
TACOMA WA 98407
Officer/Director/Trustee Three
ZACHARY EASTWOOD
DIRECTOR MARKETING COMMUNICATION
5548 27TH AVE NE APT B
SEATTLE WA 98105
Officer/Director/Trustee Four
CARRIE WESTMORELAND MILLER
PRESIDENT
3439 SANDY BLVD 201
RENTON WA 98058
Officer/Director/Trustee Five
RACHELLE REID
VICE PRESIDENT
3439 SANDY BLVD 201
PORTLAND OR 97232
| Organization’s website | PNWHSC.COM |
|---|---|
| Organization’s email | PNWHSC@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/13/17 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No 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 | 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 | PETER FORD |
| Signature Title | TREASURER |
| Signature Date | 7/19/18 |
Recently Saved Organizations
Click on the save icon from a search results or organization page.
Advertisement
