FORM 1023-EZ for MARSHALL CITIZEN SCIENCE INSTITUTE

Field Data
EIN 81-3770182
Case Number EO-2019333-000044
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARSHALL CITIZEN SCIENCE INSTITUTE
Organization’s Mailing Address 402 CUSHING ST NW
City OLYMPIA
State WA
ZIP 98502
Accounting period End 10
Primary contact name ANGELA PRZYBYLOWICZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MACSEMS
PRESIDENT
1004 RODGERS ST NW
OLYMPIA WA 98502

Officer/Director/Trustee Two

JASON MARTINELLI
VICE-PRESIDENT
516 17TH AVE SE
OLYMPIA WA 98501

Officer/Director/Trustee Three

SARA AVERILL
SECRETARY
2104 GOLDEN MAPLES COURT NW
OLYMPIA WA 98502

Officer/Director/Trustee Four

CORINA MCCLEARY
TREASURER
3409 33RD WAY NW
OLYMPIA WA 98502

Officer/Director/Trustee Five

ELIZABETH MULLINS
RESOURCE OFFICER
2528 19TH WAY NW
OLYMPIA WA 98502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N94 -
Organization’s purpose Charitable: No
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL MACSEMS
Signature Title PRESIDENT
Signature Date 11/26/19

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