FORM 1023-EZ for BLAINE CBP EXPLORER POST 3004

Field Data
EIN 81-3503853
Case Number EO-2016354-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLAINE CBP EXPLORER POST 3004
Organization’s Mailing Address 9901 PACIFIC HIGHWAY
City BLAINE
State WA
ZIP 98230
Accounting period End 12
Primary contact name ANDREA COFFEY - DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA COFFEY
DIRECTOR
9901 PACIFIC HIGHWAY
BLAINE WA 98230

Officer/Director/Trustee Two

GLENN WILLIAMS
CHAIRPERSON
9901 PACIFIC HIGHWAY
BLAINE WA 98230

Officer/Director/Trustee Three

RACHEL SCOTT
OFFICER
9901 PACIFIC HIGHWAY
BLAINE WA 98230

Organization’s website N/A
Organization’s email ANDREA.N.COFFEY@CBP.DHS.GOV
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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