FORM 1023-EZ for ABUNDANT LIFE WA

Field Data
EIN 82-2026730
Case Number EO-2017212-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ABUNDANT LIFE WA
Organization’s Mailing Address 13805 SMOKEY POINT BLVD STE 103
City MARYSVILLE
State WA
ZIP 98271
Accounting period End 12
Primary contact name PATRICIA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE IMPOLA
PRESIDENT
13805 SMOKEY POINT BLVB STE 103
MARYSVILLE WA 98271

Officer/Director/Trustee Two

DAVID GRAVES
VICE PRESIDENT
3525 174TH PL NE
ARLINGTON WA 98223

Officer/Director/Trustee Three

JOSEPHINE STRATTON
SEC/TREASURER
1800 BICKFORD AVE
SNOHOMISH WA 98290

Organization’s website
Organization’s email ABUNDANTLIFEWA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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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