FORM 1023-EZ for ONE LOVE LGBTQ YOUTH OUTREACH SERVICES

Field Data
EIN 82-0625113
Case Number EO-2017073-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE LOVE LGBTQ YOUTH OUTREACH SERVICES
Organization’s Mailing Address 10003 NE 65TH CIR
City VANCOUVER
State WA
ZIP 98662
Accounting period End 12
Primary contact name WILLOW SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLOW SCOTT
PRESIDENT, DIRECTOR
10003 NE 65TH CIR
VANCOUVER WA 98662

Officer/Director/Trustee Two

KAREN VON KUGLAR
SECRETARY, DIRECTOR
10003 NE 65TH CIR
VANCOUVER WA 98662

Officer/Director/Trustee Three

CARRIE ATKIN
TREASURER, DIRECTOR
10003 NE 65TH CIR
VANCOUVER WA 98662

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2017
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: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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
Signature Title
Signature Date

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