FORM 1023-EZ for SCC PARENT ADVISORY COUNCIL

Field Data
EIN 84-4244980
Case Number EO-2021237-000025
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCC PARENT ADVISORY COUNCIL
Organization’s Mailing Address 16101 GREENWOOD AVENUE N
City SHORELINE
State WA
ZIP 98133
Accounting period End 7
Primary contact name ANNA VAN PELT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA COMNICK
PRESIDENT
16915 22ND AVE NE
SHORELINE WA 98155

Officer/Director/Trustee Two

JENNIFER BARBER
SECRETARY
2711 NE 123RD ST
SEATTLE WA 98125

Officer/Director/Trustee Three

JYOTI SUBHEDAR
DIRECTOR
13114 25TH DRIVE SE
EVERETT WA 98208

Officer/Director/Trustee Four

ANNA VAN PELT
TREASURER
1863 NE 172ND STREET
SHORELINE WA 98155

Officer/Director/Trustee Five

CLOUDINE LANG
DIRECTOR
21315 RIMROCK ROAD
MONROE WA 98272

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 ANNA VAN PELT
Signature Title TREASURER
Signature Date 8/21/2021

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