FORM 1023-EZ for EAT AND THRIVE

Field Data
EIN 85-0823274
Case Number EO-2021250-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAT AND THRIVE
Organization’s Mailing Address 220 WYATT DRIVE
City KELSO
State WA
ZIP 98626
Accounting period End 7
Primary contact name SHELBY BUTTERFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELBY BUTTERFIELD
PRESIDENT
220 WYATT DR
KELSO WA 98626

Officer/Director/Trustee Two

KELLY HOGGATT
VICE PRESIDENT
362 CEMETERY ROAD
KALAMA WA 98625

Officer/Director/Trustee Three

MELISSA BYRNES
SECRETARY
240 NORTH 50TH AVE
LONGVIEW WA 98632

Officer/Director/Trustee Four

RUTH BEHRENDSEN
TREASURER
5016 NORTHWEST VISTA DRIVE
WOODLAND WA 98674

Organization’s website NONE
Organization’s email SHELBYBLUE72@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2018
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - 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 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 SHELBY BUTTERFIELD
Signature Title PRESIDENT
Signature Date 9/2/2021

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