FORM 1023-EZ for PIISAFE

Field Data
EIN 47-4111019
Case Number EO-2015170-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIISAFE
Organization’s Mailing Address 23403 E MISSION AVE SUITE 203
City LIBERTY LAKE
State WA
ZIP 99019-7625
Accounting period End 12
Primary contact name GEORGE BRUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA DAVIS
DIRECTOR
23403 E MISSION AVE SUITE 203
LIBERTY LAKE WA 99019-7625

Officer/Director/Trustee Two

AARON PORTER
DIRECTOR
23403 E MISSION AVE SUITE 203
LIBERTY LAKE WA 99019-7625

Officer/Director/Trustee Three

CANDACE JAVIER
DIRECTOR
23403 E MISSION AVE SUITE 203
LIBERTY LAKE WA 99019-7625

Officer/Director/Trustee Four

STEVEN DAINES
DIRECTOR
23403 E MISSION AVE SUITE 203
LIBERTY LAKE WA 99019-7625

Organization’s website WWW.PIISAFE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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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