FORM 1023-EZ for SHERON ANN FOUNDATION

Field Data
EIN 47-1640301
Case Number EO-2019177-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHERON ANN FOUNDATION
Organization’s Mailing Address PO BOX 46245
City SEATTLE
State WA
ZIP 98146
Accounting period End 12
Primary contact name KEITH SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH SCOTT
PRESIDENT
PO BOX 46245
SEATTLE WA 98146

Officer/Director/Trustee Two

KATIE SCOTT
DIRECTOR
PO BOX 46245
SEATTLE WA 98146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/14
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - 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 Yes
Correctness Declaration Yes
Signature Name KEITH SCOTT
Signature Title PRESIDENT
Signature Date 6/24/19
EIN 47-1640301
Case Number EO-2014241-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHERON ANN FOUNDATION
Organization’s Mailing Address 1425 S PUGET DR APT 303
City RENTON
State WA
ZIP 98116
Accounting period End 12
Primary contact name KEITH SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH SCOTT
DIRECTOR
1425 S PUGET DR APT 303
RENTON WA 98055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 Yes
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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