FORM 1023-EZ for DONALD LOOMIS MEMORIAL CLOTHING BANK

Field Data
EIN 61-1608061
Case Number EO-2014307-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DONALD LOOMIS MEMORIAL CLOTHING BANK
Organization’s Mailing Address 28619 128TH STREET EAST
City BUCKLEY
State WA
ZIP 98321
Accounting period End 12
Primary contact name CARL HART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHEILA SMITH
PRES-TREAS - DIRECTOR
28619 128TH ST E
BUCKLEY WA 98321

Officer/Director/Trustee Two

CARL HART
VICE PRESIDENT - DIRECTOR
1745 FARRELLY ST
ENUMCLAW WA 98022

Officer/Director/Trustee Three

NANCY LOOMIS
SECRETARY-DIRECTOR
529 BENLO ST
BUCKLEY WA 98321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2011
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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
Signature Title
Signature Date

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