FORM 1023-EZ for FAMILY CONNECTIONS TEAM

Field Data
EIN 82-2506534
Case Number EO-2018068-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY CONNECTIONS TEAM
Organization’s Mailing Address 115 DICKINSON AVE
City MONROE
State WA
ZIP 98272
Accounting period End 6
Primary contact name KATHRYN BERNHARDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARA MOTA DE GUTIERREZ
PRESIDENT
16367 162 ST SE
MONROE WA 98272

Officer/Director/Trustee Two

KATHRYN BERNHARDT
VICE-PRESIDENT/REGISTERED AGENT
21304 82ND PL SE
SNOHOMISH WA 98290

Officer/Director/Trustee Three

ARACELY JIMENEZ-RODREGUEZ
SECRETARY
255 E MCDOUGALL ST - B
MONROE WA 98272

Officer/Director/Trustee Four

MARTHA SALUD RUBIO
TREASURER
18056 15TH ST SE
MONROE WA 98272

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 KATHRYN BERNHARDT
Signature Title VICE-PRESIDENT/REGISTERED AGENT
Signature Date 3/7/18

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