FORM 1023-EZ for SAVE LAKE KACHESS

Field Data
EIN 83-0968849
Case Number EO-2019169-000512
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVE LAKE KACHESS
Organization’s Mailing Address PO BOX 33
City FALL CITY
State WA
ZIP 98024
Accounting period End 12
Primary contact name TIMOTHY A WAGAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN REEVES
PRESIDENT
PO BOX 33
FALL CITY WA 98024

Officer/Director/Trustee Two

KARA MULQUEENEY
TREASURER
16437 241ST AVE SE
ISSAQUAH WA 98027

Officer/Director/Trustee Three

GORDON BRANDT
VICE PRESIDENT
790 KALMIA CT NW
ISSAQUAH WA 98027

Officer/Director/Trustee Four

JEAN FOUNTAIN
SECRETARY
4725A NE 18TH PL
RENTON WA 98059

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 JOHN REEVES
Signature Title PRESIDENT
Signature Date 6/14/19

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