FORM 1023-EZ for NORTHWEST DHARMA ASSOCIATION

Field Data
EIN 94-3098029
Case Number EO-2015259-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST DHARMA ASSOCIATION
Organization’s Mailing Address 312 NW 85TH APT 306
City SEATTLE
State WA
ZIP 98117
Accounting period End 12
Primary contact name TIMOTHY OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIM TAPPING
PRESIDENT
920 210TH AVE NE
SAMMAMISH WA 98074

Officer/Director/Trustee Two

DAMIEN ABEL
VICE-PRESIDENT
26156 243RD PL SE
MAPLE VALLEY7 WA 98038

Officer/Director/Trustee Three

GUO CHEEN SHI
SECRETARY
11501 87TH AVE S
SEATTLE WA 98178

Officer/Director/Trustee Four

ELIZABETH SIKES
TREASURER
9807 57TH AVE S
SEATTLE WA 98118

Officer/Director/Trustee Five

JEFF MILES
BOARD MEMBER
PO BOX 1964
ABERDEEN WA 98520

Organization’s website WWW.NORTHWESTDHARMA.ORG
Organization’s email INFO@NORTHWESTDHARMA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/1989
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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