FORM 1023-EZ for VITAL SOLUTIONS

Field Data
EIN 46-3922199
Case Number EO-2016216-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VITAL SOLUTIONS
Organization’s Mailing Address 2025 FIRST AVENUE PENTHOUSE A
City SEATTLE
State WA
ZIP 98121-3125
Accounting period End 12
Primary contact name SONNY BEHRENDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEN STERCUIC
PRESIDENT
110 NE 164TH PLACE
BOTHELL WA 98021

Officer/Director/Trustee Two

JOSHUA FREED
VICE PRESIDENT
10919 NE 164TH STREET
BOTHELL WA 98011

Officer/Director/Trustee Three

MONICA PADINEANT
SECRETARY
5447 9TH PLACE SW
MUKILTEO WA 98275

Officer/Director/Trustee Four

CHRISTIAN LINDBECK
DIRECTOR
13021 55TH AVENUE SE
EVERETT WA 98208

Officer/Director/Trustee Five

SONNY BEHRENDS
DIRECTOR
2025 1ST AVENUE PENTHOUSE A
SEATTLE WA 98121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2013
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 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
Signature Title
Signature Date

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