FORM 1023-EZ for PACIFIC COUNTY IMMIGRANT SUPPORT

Field Data
EIN 82-4313213
Case Number EO-2018067-000153
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PACIFIC COUNTY IMMIGRANT SUPPORT
Organization’s Mailing Address PO BOX 156
City LONG BEACH
State WA
ZIP 98631
Accounting period End 12
Primary contact name ANN REEVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE SERRANO
PRESIDENT
PO BOX 512
SOUTH BEND WA 98586

Officer/Director/Trustee Two

MARY STELLER
VICE PRESIDENT
150 WARANKA RD
ROSBURG WA 98643

Officer/Director/Trustee Three

ANN REEVES
TREASURER
12912 N ALLEY
LONG BEACH WA 98631

Officer/Director/Trustee Four

SANDRA NIELSON
SECRETARY
3505 281ST ST
OCEAN PARK WA 98640

Officer/Director/Trustee Five

DIANTHA WEILEPP
BOARD MEMBER AT LARGE
PO BOX 1080
SOUTH BEND WA 98586

Organization’s website
Organization’s email ANNREEVES721@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P84 - Ethnic, Immigrant Centers, Services
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 Yes
Conducting Activities Outside of United States Yes
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 ANN REEVES
Signature Title TREASURER
Signature Date 3/6/18

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