FORM 1023-EZ for IMAGINE THAT

Field Data
EIN 85-1258577
Case Number EO-2020169-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMAGINE THAT
Organization’s Mailing Address 3400 NE 66TH AVE
City VANCOUVER
State WA
ZIP 98661
Accounting period End 12
Primary contact name ROSE WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE WILSON
/ PRESIDENT / CEO
3400 NE 66TH AVE A1
VANCOUVER WA 98661

Officer/Director/Trustee Two

KATIE BROKAW
CEO/ VP
3400 NE 66TH AVE A1
VANCOUVER WA 98661

Officer/Director/Trustee Three

JASON BROKAW
VP OF SHIPPING & RECEIVING
3400 NE 66TH AVE A1
VANCOUVER WA 98661

Officer/Director/Trustee Four

DEJA JOHNSON
TEASURE/ DIRECTOR
3400 NE 66TH AVE A1
VANCOUVER WA 98661

Officer/Director/Trustee Five

LENARD BROWN
SUPERVISOR OF DRIVING
3400 NE 66TH AVE
VANCOUVER WA 98661

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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 ROSE WILSON
Signature Title / PRESIDENT / CEO
Signature Date 6/15/2020

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