FORM 1023-EZ for PACIFIC NORTHWEST CHESS CENTER

Field Data
EIN 83-0850648
Case Number EO-2018170-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PACIFIC NORTHWEST CHESS CENTER
Organization’s Mailing Address 2218 239TH PL NE
City SAMMAMISH
State WA
ZIP 98074
Accounting period End 12
Primary contact name XUHAO HE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XUHAO HE
PRESIDENT
2218 239TH PL NE
SAMMAMISH WA 98074-3554

Officer/Director/Trustee Two

LISA LEVINE
VICE PRESIDENT
8601 NE 20TH ST
CLYDE HILL WA 98004-2452

Officer/Director/Trustee Three

YAN CUI
TREASURER
15379 SE 58TH ST
BELLEVUE WA 98006-5363

Officer/Director/Trustee Four

VIJAYAKUMAR SANKARAN
SECRETARY
22011 43RD DR SE
BOTHELL WA 98021-8094

Organization’s website HTTPS://PNWCHESSCENTER.ORG
Organization’s email PNWCHESSCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 XUHAO HE
Signature Title PRESIDENT
Signature Date 6/17/18

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