FORM 1023-EZ for ROCHE HARBOR NEIGHBORHOOD ASSOCIATION

Field Data
EIN 61-1884653
Case Number EO-2018199-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCHE HARBOR NEIGHBORHOOD ASSOCIATION
Organization’s Mailing Address PO BOX 4421
City ROCHE HARBOR
State WA
ZIP 98250-4421
Accounting period End 12
Primary contact name BARNABY ZALL PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARNABY ZALL
PRESIDENT
351 DAVISON HEAD DR
FRIDAY HARBOR WA 98250

Officer/Director/Trustee Two

SUSAN MARTIN
VICE-PRESIDENT
435 WHITE POINT RD
FRIDAY HARBOR WA 98250

Officer/Director/Trustee Three

SONDI ARNDT
SECRETARY
265 NEIL BAY DR
FRIDAY HARBOR WA 98250

Officer/Director/Trustee Four

DAVID KING
TREASURER
244 BROOKS LANE
FRIDAY HARBOR WA 98250

Officer/Director/Trustee Five

JUDI ULREY
DIRECTOR
497 PETRICH RD
FRIDAY HARBOR WA 98250

Organization’s website ROCHEHARBORNA.WORDPRESS.COM
Organization’s email RHNA.PRES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 No
Correctness Declaration Yes
Signature Name BARNABY ZALL
Signature Title PRESIDENT
Signature Date 7/16/18

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