FORM 1023-EZ for AMERICAN SOCIETY FOR PAIN MANAGEMENT NURSING PACIFIC NORTHWEST CHAPTER

Field Data
EIN 83-4272979
Case Number EO-2019193-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN SOCIETY FOR PAIN MANAGEMENT NURSING PACIFIC NORTHWEST CHAPTER
Organization’s Mailing Address PO BOX 10086
City BAINBRIDGE ISLAND
State WA
ZIP 98110
Accounting period End 12
Primary contact name HOLLY WATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY WATSON
PRESIDENT
PO BOX 10086
BAINBRIDGE ISLAND WA 98110

Officer/Director/Trustee Two

UZOMA IZUNAGBARA
DIRECTOR AT LARGE
PO BOX 10086
BAINBRIDGE ISLAND WA 98110

Officer/Director/Trustee Three

MEAGAN CALLAHAN
PRESIDENT ELECT
PO BOX 10086
BAINBRIDGE ISLAND WA 98110

Organization’s website PNWCASPMN.NURSINGNETWORK.COM
Organization’s email PNW.ASPMN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 HOLLY WATSON
Signature Title PRESIDENT
Signature Date 7/10/19

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