| Field | Data |
|---|---|
| EIN | 30-0079878 |
| Case Number | EO-2019156-000229 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JEFFERSON COUNTY MEDICAL ADVOCACY AND SERVICE HEADQUARTERS |
| Organization’s Mailing Address | 1136 WATER STREET SUITE 109 |
| City | PORT TOWNSEND |
| State | WA |
| ZIP | 98368 |
| Accounting period End | 12 |
| Primary contact name | JAMES ROTCHFORD - PRESIDENT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JAMES ROTCHFORD
PRESIDENT
1136 WATER STREET SUITE 109
PORT TOWNSEND WA 98368
CHRISTINA BRINCH
SECRETARY-TREASURER
2537 EDDY STREET
PORT TOWNSEND WA 98368
JENNIFER TAYLOR
DIRECTOR
292 POCKET LANE
PORT TOWNSEND WA 98368
DOLORES JACOBY
DIRECTOR
331 BENTON STREET
PORT TOWNSEND WA 98368
| Organization’s website | WWW.JCMASH.COM |
|---|---|
| Organization’s email | JCMASH1136@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/19/96 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| 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 | 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | JAMES ROTCHFORD |
| Signature Title | PRESIDENT |
| Signature Date | 6/3/19 |
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