FORM 1023-EZ for WHITE SALMON GLEANERS

Field Data
EIN 47-4911436
Case Number EO-2016049-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHITE SALMON GLEANERS
Organization’s Mailing Address PO BOX 793
City WHITE SALMON
State WA
ZIP 98672
Accounting period End 12
Primary contact name CASSONDRA FULLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CASSONDRA FULLER
PRESIDENT
2405 HWY 141
TROUT LAKE WA 98650

Officer/Director/Trustee Two

JESSICA BLOCK
VICE PRESIDENT
110 E JEWETT APT 1
WHITE SALMON WA 98672

Officer/Director/Trustee Three

MEGHAN DERICO
SECRETARY
536 COCHRAN LANE
WHITE SALMON WA 98672

Officer/Director/Trustee Four

MARILYN VOSKIA
TREASURER
211 ACME RD
WHITE SALMON WA 98672

Officer/Director/Trustee Five

TOM CROWDER
DISTRIBUTION MANAGER
PO BOX 1164
WHITE SALMON WA 98672

Organization’s website
Organization’s email WHITESALMONGLEANERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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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