FORM 1023-EZ for SEASONS CHANGE DAY CAMP

Field Data
EIN 83-2106681
Case Number EO-2018284-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEASONS CHANGE DAY CAMP
Organization’s Mailing Address 5204 54TH AVE SE
City LACEY
State WA
ZIP 98503
Accounting period End 12
Primary contact name TAMI A REEVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMI A REEVES
PRESIDENT
5204 54TH AVE SE
LACEY WA 98503

Officer/Director/Trustee Two

BRIAN P CALDER
TREASURER
1576 FORREST STREET
WESTPORT WA 98595

Officer/Director/Trustee Three

RITA M MACDONALD
SECRETARY
2300 JEFFERSON AVE NE F-123
RENTON WA 98056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 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 TAMI A REEVES
Signature Title PRESIDENT
Signature Date 10/9/18

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