FORM 1023-EZ for CITY CHAPEL DBA THE FELLOWSHIP

Field Data
EIN 91-0719949
Case Number EO-2018318-000016
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CITY CHAPEL DBA THE FELLOWSHIP
Organization’s Mailing Address PO BOX 642
City ISSAQUAH
State WA
ZIP 98027
Accounting period End 12
Primary contact name KURT KREAGER -TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARRICK PANG
PRESIDENT
12514 SE 25TH PL
BELLEVUE WA 98005

Officer/Director/Trustee Two

CHRISTOPHER STONE
SECRETARY
1420 SW 296TH
FEDERAL WAY WA 98023

Officer/Director/Trustee Three

KURT KREAGER
TREASURER
12819 SE 38TH UNIT 271
BELLEVUE WA 98006

Officer/Director/Trustee Four

PETER ANDERSON
BOARD MEMBER
5519 19TH AVE S
SEATTLE WA 98108

Officer/Director/Trustee Five

JIM HUMPHRIES
BOARD MEMBER
PO BOX 2033
SNOQUALMIE WA 98065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/16
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name KURT KREAGER
Signature Title TREASURER
Signature Date 11/5/18

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