FORM 1023-EZ for OUTLIVE
| Field | Data |
|---|---|
| EIN | 84-3570902 |
| Case Number | EO-2019316-000038 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OUTLIVE |
| Organization’s Mailing Address | 1016 W 12TH AVE |
| City | SPOKANE |
| State | WA |
| ZIP | 99204-3816 |
| Accounting period End | 12 |
| Primary contact name | BRAD THIESSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CRAIG GOODWIN
PRESIDENT
5315 N VISTA CT
SPOKANE WA 99212-1639
Officer/Director/Trustee Two
SCOTT MARTIN
TREASURER
4125 S TRICIA CT
SPOKANE WA 99223-6101
Officer/Director/Trustee Three
MATTHEW ORTIZ
VICE-PRESIDENT
426 E 9TH AVE
SPOKANE WA 99202-1216
Officer/Director/Trustee Four
JAMIE REDMAN
AT LARGE
437 W 28TH AVE
SPOKANE WA 99203-1863
| Organization’s website | WWW.OUTLIVECANCER.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/9/19 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G30 - Cancer |
| 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 | 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 | JAMIE REDMAN |
| Signature Title | AT LARGE |
| Signature Date | 11/7/19 |
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