FORM 1023-EZ for INNOVATION LAB HIGH SCHOOL PTSA

Field Data
EIN 86-2034011
Case Number EO-2021091-000865
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INNOVATION LAB HIGH SCHOOL PTSA
Organization’s Mailing Address 15 OREGON AVENUE SUITE 202
City TACOMA
State WA
ZIP 98409-7463
Accounting period End 6
Primary contact name CATHERINE JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE JONES
PRESIDENT
10004 NE 204TH STREET
BOTHELL WA 98011

Officer/Director/Trustee Two

KERRILYNN BOOTH
TREASURER
19635 98TH AVENUE NE
BOTHELL WA 98011

Officer/Director/Trustee Three

JENNIFER MCINERNEY
VICE PRESIDENT
10805 NE 149TH STREET
BOTHELL WA 98011

Officer/Director/Trustee Four

DIANA CHRISTIANSEN
VICE PRESIDENT
16021 147TH PLACE NE
WOODINVILLE WA 98072

Officer/Director/Trustee Five

DEIRDRE HALL
SECRETARY
22604 37TH AVENUE SE
BOTHELL WA 98021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
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 Yes
Disaster relief assistance Yes
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 CATHERINE JONES
Signature Title PRESIDENT
Signature Date 2/21/2021

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