FORM 1023-EZ for NORTH WEST PUBLIC HEALTH INFORMATION NETWORK

Field Data
EIN 85-0778647
Case Number EO-2020118-000569
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH WEST PUBLIC HEALTH INFORMATION NETWORK
Organization’s Mailing Address 906 W 2ND AVE STE 100
City SPOKANE
State WA
ZIP 99201
Accounting period End 8
Primary contact name NORTH WEST REGISTERED AGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTIAN VONJOE
PRESIDENT
9325 LIME TERRACE S
SEATTLE WA 98118

Officer/Director/Trustee Two

BERHANU ALEMAYEHU
DIRECTOR
9325 LIME TERRACE S
SEATTLE WA 98118

Officer/Director/Trustee Three

HAROLD FIELDS
DIRECTOR
9325 LIME TERRACE S
SEATTLE WA 98118

Officer/Director/Trustee Four

IISMAIL EBRAHIM
DIRECTOR
9325 LIME TERRACE S
SEATTLE WA 98118

Organization’s website NWPHIN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 CHRISTIAN VONJOE
Signature Title PRESIDENT
Signature Date 4/25/2020

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