FORM 1023-EZ for HEAL SPOKANE

Field Data
EIN 82-5061718
Case Number EO-2018110-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEAL SPOKANE
Organization’s Mailing Address 5508 N WALNUT ST
City SPOKANE
State WA
ZIP 99205
Accounting period End 12
Primary contact name JOHN SATHER GOWDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SATHER GOWDY
PRESIDENT
5508 N WALNUT ST
SPOKANE WA 99205

Officer/Director/Trustee Two

JOHN R MCDOUGAL
VICE-PRESIDENT
2223 E JOSEPH AVE
SPOKANE WA 99208

Officer/Director/Trustee Three

PHILIP FOX SILCHER
DIRECTOR
1611 E 13TH AVE
SPOKANE WA 99202

Officer/Director/Trustee Four

RINA BOZEMAN
TREASURER
PO BOX 4624
MEDFORD OR 97501

Officer/Director/Trustee Five

DEVONTE HOWARD
SECRETARY
3419 SOUTH ARTHUR ST
SPOKANE WA 99203

Organization’s website HEALSPOKANE.COM
Organization’s email HEAL.SPOKANE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 JOHN SATHER GOWDY
Signature Title PRESIDENT
Signature Date 4/18/18

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