FORM 1023-EZ for THE COMMUNITY AT HOLMES HARBOR

Field Data
EIN 30-0452541
Case Number EO-2014259-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE COMMUNITY AT HOLMES HARBOR
Organization’s Mailing Address 5050 BRADSHAW ROAD
City FREELAND
State WA
ZIP 98249
Accounting period End 12
Primary contact name CAROL HANNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROL HANNA
PRESIDENT
5050 BRADSHAW ROAD
FREELAND WA 98249-9429

Officer/Director/Trustee Two

REVEILLE BARCHENGER
TREASURER
1271 LONG DRIVE
FREELAND WA 98249-8738

Officer/Director/Trustee Three

BILL ODONNELL
VICE-PRESIDENT
4920 HAINES ROAD
FREELAND WA 98249-9794

Officer/Director/Trustee Four

JUDY SIMON
SECRETARY
4904 SPINNAKER DRIVE
FREELAND WA 98249-9743

Officer/Director/Trustee Five

NANCY TONKIN
DIRECTOR
1404 STARVIEW COURT
FREELAND WA 98249-9208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2002
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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