FORM 1023-EZ for ZENITH WEST FOUNDATION

Field Data
EIN 84-3521250
Case Number EO-2019304-000346
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZENITH WEST FOUNDATION
Organization’s Mailing Address 1718 BROWN AVE
City DUPONT
State WA
ZIP 98327
Accounting period End 6
Primary contact name JENNIFER SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SMITH
PRESIDENT
PO BOX 662
FOX ISLAND WA 98333

Officer/Director/Trustee Two

BRIANNE EDWARDS
TREASURER
7324 NORTH ST SW
LAKEWOOD WA 98498

Officer/Director/Trustee Three

ECHO KEOUGH
INDIVIDUAL
9628 49TH ST W
UNIVERSITY PLACE WA 98467

Officer/Director/Trustee Four

MISSY DERICKSON
INDIVIDUAL
3713 SNOWBERRY ST NE
LACEY WA 98516

Officer/Director/Trustee Five

ROSEMARY HASHIMOTO
INDIVIDUAL
7650 53RD PL
GIG HARBOR WA 98335

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
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 JENNIFER SMITH
Signature Title PRESIDENT
Signature Date 10/29/19

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