FORM 1023-EZ for FIGHT THE FLU FOUNDATION

Field Data
EIN 81-3474410
Case Number EO-2017142-000576
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIGHT THE FLU FOUNDATION
Organization’s Mailing Address PO BOX 11151
City TACOMA
State WA
ZIP 98411
Accounting period End 12
Primary contact name REBECCA HENDRICKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA HENDRICKS
FOUNDER/PRESIDENT
1418 S L STREET
TACOMA WA 98405

Officer/Director/Trustee Two

MICHAEL HENDRICKS
SECRETARY
1418 S L STREET
TACOMA WA 98405

Officer/Director/Trustee Three

HEATHER LINDBERG
DIRECTOR
35 BRIAN ROAD
LOWELL WA 01850

Officer/Director/Trustee Four

PEGY LOWERY
OFFICER
5126 E HILLCREST DRIVE
PORT ORCHARD WA 98366

Officer/Director/Trustee Five

DAVID BAKULA
TREASURER
35 BRIAN ROAD
LOWELL WA 01850

Organization’s website WWW.FIGHTTHEFLUFOUNDATION.ORG
Organization’s email REBECCA@FIGHTTHEFLUFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 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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