FORM 1023-EZ for SUMMIT PAYEE SERVICE

Field Data
EIN 84-2171469
Case Number EO-2019217-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMMIT PAYEE SERVICE
Organization’s Mailing Address 8229 WALLINGFORD AVE N
City SEATTLE
State WA
ZIP 98103
Accounting period End 12
Primary contact name CARLY GRINDSTAFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLY GRINDSTAFF
PRESIDENT
8229 WALLINGFORD AVE N
SEATTLE WA 98103

Officer/Director/Trustee Two

MIRANDA KRETZ
VICE PRESIDENT
4801 E 5TH ST C314
VANCOUVER WA 98661

Officer/Director/Trustee Three

HALEY MOORE-LONG
SECRETARY
8229 WALLINGFORD AVE N
SEATTLE WA 98103

Officer/Director/Trustee Four

SHANE JANSEN
TREASURER
2223 NW 62ND ST
SEATTLE WA 98107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 CARLY GRINDSTAFF
Signature Title PRESIDENT
Signature Date 8/1/19

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