FORM 1023-EZ for PUYALLUP AREA AGING IN COMMUNITY COMMITTEE

Field Data
EIN 46-0554872
Case Number EO-2016110-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUYALLUP AREA AGING IN COMMUNITY COMMITTEE
Organization’s Mailing Address 1002 39TH AVE SW
City PUYALLUP
State WA
ZIP 98373-3813
Accounting period End 12
Primary contact name BRENDA MILEWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN HERR
INCORPORATOR
12306 -125TH ST E
PUYALLUP WA 98374-5279

Officer/Director/Trustee Two

DOUG MCCORMICK
INCORPORATOR
18909 - 89TH AVE E
PUYALLUP WA 98375-6147

Officer/Director/Trustee Three

LINDA HENRY
INCORPORATOR
2407 - 36TH AVE SE
PUYALLUP WA 98374-1932

Officer/Director/Trustee Four

GEORGE DUNCAN
INCORPORATOR
1525 - 29TH PL SE
PUYALLUP WA 98374-1384

Officer/Director/Trustee Five

BRENDA MILEWSKI
INCORPORATOR
14010 68TH AVE E
PUYALLUP WA 98373-8706

Organization’s website WWW.FACEBOOK.COM/PUYALLUPAREAAGINGINCOMMUNITYCOMMITTEE
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2006
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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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