FORM 1023-EZ for KING COUNTY POLICE CHAPLAINCY

Field Data
EIN 91-1269985
Case Number EO-2021204-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KING COUNTY POLICE CHAPLAINCY
Organization’s Mailing Address 3511 NE 2ND ST
City RENTON
State WA
ZIP 98056-4192
Accounting period End 12
Primary contact name GRAYDON MATHESON - SEC TREAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELINDA IRVINE
PRESIDENT
3511 NE 2ND ST
RENTON WA 98056-4192

Officer/Director/Trustee Two

GRAYDON MATHESON
SECRETARY TREASURER
3511 NE 2ND ST
RENTON WA 98056-4192

Officer/Director/Trustee Three

JEFFREY BARKER
VICE PRESIDENT
3511 NE 2ND ST
RENTON WA 98056-4192

Officer/Director/Trustee Four

PRESTON BHANG
BOARD MEMBER
3511 NE 2ND ST
RENTON WA 98056-4192

Officer/Director/Trustee Five

STEVEN KAJIHIRO
BOARD MEMBER
3511 NE 2ND ST
RENTON WA 98056-4192

Organization’s website KCCHAPLAINS.ORG
Organization’s email ADMIN@KCCHAPLAINS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/1999
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name GRAYDON MATHESON
Signature Title SECRETARY TREASURER
Signature Date 7/21/2021

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