FORM 1023-EZ for WASHINGTON MEDICAL ACCESS FUND
| Field | Data |
|---|---|
| EIN | 37-1865910 |
| Case Number | EO-2021158-000166 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WASHINGTON MEDICAL ACCESS FUND |
| Organization’s Mailing Address | PO BOX 9912 |
| City | SEATTLE |
| State | WA |
| ZIP | 98109 |
| Accounting period End | 12 |
| Primary contact name | MARANDA DAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANDY BRASSINGTON
VICE PRESIDENT
PO BOX 9912
SEATTLE WA 98109
Officer/Director/Trustee Two
JIM MULLEN
PRESIDENT
PO BOX 9912
SEATTLE WA 98109
Officer/Director/Trustee Three
VICKI CHRISTOPHERSEN
DIRECTOR
PO BOX 9912
SEATTLE WA 98109
| Organization’s website | WWW.WACANNABUSINESS.ORG |
|---|---|
| Organization’s email | INFO@WACANNABUSINESS.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/8/2017 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | VICKI CHRISTOPHERSEN |
| Signature Title | DIRECTOR |
| Signature Date | 6/3/2021 |
| EIN | 37-1865910 |
| Case Number | EO-2017335-000180 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WASHINGTON MEDICAL ACCESS FUND |
| Organization’s Mailing Address | PO BOX 9912 |
| City | SEATTLE |
| State | WA |
| ZIP | 98109-5012 |
| Accounting period End | 12 |
| Primary contact name | VALINDA CHRISTOPHERSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JIM MULLEN
PRESIDENT
PO BOX 9912
SEATTLE WA 98109-5012
Officer/Director/Trustee Two
JOHN BRANCH
TREASURER
PO BOX 9912
SEATTLE WA 98109-5012
Officer/Director/Trustee Three
JERRY DEREVYANNY
VICE PRESIDENT
PO BOX 9912
SEATTLE WA 98109-5012
Officer/Director/Trustee Four
SUSIE GRESS
SECRETARY
PO BOX 9912
SEATTLE WA 98109-5012
Officer/Director/Trustee Five
BRAD DOUGLAS
DIRECTOR
PO BOX 9912
SEATTLE WA 98109-5012
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/2/2017 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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