FORM 1023-EZ for NW BACKPACK SNACK

Field Data
EIN 47-3421688
Case Number EO-2015216-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NW BACKPACK SNACK
Organization’s Mailing Address PO BOX 642
City MORTON
State WA
ZIP 98356
Accounting period End 12
Primary contact name PAT SALDANA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAT SALDANA
PRESIDENT
PO BOX 642
MORTON WA 98356

Organization’s website WWW.NWBACKPACKSNACK.ORG
Organization’s email PSALDANA@NWBACKPACKSNACK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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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