FORM 1023-EZ for GOOD SAMARITAN MULTI SERVICES

Field Data
EIN 84-3918379
Case Number EO-2020021-000724
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOOD SAMARITAN MULTI SERVICES
Organization’s Mailing Address 29331 19TH PL S
City FEDERAL WAY
State WA
ZIP 98003-3853
Accounting period End 12
Primary contact name LAUREN MCELMURRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN MCELMURRY
DIRECTOR
29331 19TH PL S
SEATTLE WA 98003-3853

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2019
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 LAUREN MCELMURRY
Signature Title DIRECTOR
Signature Date 1/18/2020

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