FORM 1023-EZ for SERVE AND EQUIP

Field Data
EIN 47-1007587
Case Number EO-2015051-000045
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVE AND EQUIP
Organization’s Mailing Address PO BOX 110
City LYNDEN
State WA
ZIP 98264-0110
Accounting period End 12
Primary contact name DAVID MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID MOORE
GENERAL DIRECTOR (PRESIDENT)
916 LIBERTY STREET
LYNDEN WA 98264-1860

Officer/Director/Trustee Two

JEAN CAYO
TREASURER
2044 TAMARAC PLACE
FERNDALE WA 98248-9103

Officer/Director/Trustee Three

JOHN WYNNE
CHAIRMAN
1918 WEST BADGER ROAD
CUSTER WA 98240-9104

Officer/Director/Trustee Four

TIMOTHY BRYCE
VICE CHAIRMAN
108 FALCONERS WAY
BOZEMAN MT 59718-9022

Officer/Director/Trustee Five

DAVID ERICKSON
SECRETARY
1901 LAKE CREST DRIVE
BELLINGHAM WA 98229-4510

Organization’s website HTTP://WWW.SERVEANDEQUIP.ORG
Organization’s email INFO@SERVEANDEQUIP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 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
Signature Title
Signature Date

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