FORM 1023-EZ for VASHON ELDERS ARTS ACTIVITIES AND RESPITE PROGRAM

Field Data
EIN 84-2681530
Case Number EO-2019246-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VASHON ELDERS ARTS ACTIVITIES AND RESPITE PROGRAM
Organization’s Mailing Address 11617 105 AVE SW
City VASHON
State WA
ZIP 98070-3115
Accounting period End 12
Primary contact name LYNNE AMELING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNNE AMELING
PRESIDENT
11617 105 AVE SW
VASHON WA 98070-3115

Officer/Director/Trustee Two

ANN SCAFE
SECRETARY
100721 SW 112TH ST
VASHON WA 98070-3044

Officer/Director/Trustee Three

BARBARA POWELL
TREASURER
10323 SW 240TH PLACE
VASHON WA 98070-7642

Organization’s website VASHONELDERS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 LYNNE AMELING
Signature Title PRESIDENT
Signature Date 8/29/19

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