FORM 1023-EZ for CLALLAM COUNTY SCHOOL RETIREES ASSOCIATION FOUNDATION

Field Data
EIN 85-0709682
Case Number EO-2020156-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLALLAM COUNTY SCHOOL RETIREES ASSOCIATION FOUNDATION
Organization’s Mailing Address PO BOX 1684
City PORT ANGELES
State WA
ZIP 98362-0084
Accounting period End 6
Primary contact name LORA BRABANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORA BRABANT
CCSRA FOUNDATION PRESIDENT
125 WEST 11TH STREET
PORT ANGELES WA 98362-7709

Officer/Director/Trustee Two

BEVERLY BROWN
CCSRA FOUNDATION VICE PRESIDENT
830 WEST 15TH STREET
PORT ANGELES WA 98363-7228

Officer/Director/Trustee Three

LINDA BOYD
CCSRA FOUNDATION SECRETARY
427 E 7TH STREET
PORT ANGELES WA 98363-6212

Officer/Director/Trustee Four

ARLENE MORGANROTH
CCSRA FOUNDATION TREASURER
627 E VASHON AVENUE
PORT ANGELES WA 98362-6769

Officer/Director/Trustee Five

GARY GLEASON
CCSRA FOUNDATION BOARD MEMBER
2211 E 7TH AVENUE
PORT ANGELES WA 98362-9017

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 LORA BRABANT
Signature Title CCSRA FOUNDATION PRESIDENT
Signature Date 6/2/2020

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