FORM 1023-EZ for EVANS EMBRACE

Field Data
EIN 45-4145472
Case Number EO-2015259-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EVANS EMBRACE
Organization’s Mailing Address PO BOX 12371
City MILL CREEK
State WA
ZIP 98082
Accounting period End 12
Primary contact name MELISSA KOCAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA KOCAN
PRESIDENT/DIRECTOR
PO BOX 12371
MILL CREEK WA 98082

Officer/Director/Trustee Two

KARA DAVIES
SECRETARY
PO BOX 12371
MILL CREEK WA 98082

Officer/Director/Trustee Three

VICKI GILLETTE
TREASURER
PO BOX 12371
MILL CREEK WA 98082

Organization’s website WWW.EVANSEMBRACE.COM
Organization’s email EVANSEMBRACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2011
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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