FORM 1023-EZ for BAINBRIDGE ISLAND BARKS AND RECREATION

Field Data
EIN 81-4987314
Case Number EO-2017055-000604
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAINBRIDGE ISLAND BARKS AND RECREATION
Organization’s Mailing Address 250 MADRONA WAY NE STE 220
City BAINBRIDGE ISLAND
State WA
ZIP 98110
Accounting period End 12
Primary contact name MICHAEL POLLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL POLLOCK
PRESIDENT/SECRETARY
3700 CRYSTAL SPRINGS DRIVE NE
BAINBRIDGE ISLAND WA 98110

Officer/Director/Trustee Two

BEVERLY GLASSER
TREASURER
6562 NE KOURA ROAD
BAINBRIDGE ISLAND WA 98110

Officer/Director/Trustee Three

SHARON ESHOM
VICE-PRESIDENT
11226 MEADOWMEER CIRCLE NE
BAINBRIDGE ISLAND WA 98110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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