FORM 1023-EZ for CHAMBER OF MANSFIELD

Field Data
EIN 61-1797403
Case Number EO-2016256-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMBER OF MANSFIELD
Organization’s Mailing Address PO BOX 732
City MANSFIELD
State WA
ZIP 98830
Accounting period End 12
Primary contact name JENNIFER WITTIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKIA SCHMIDT
PRESIDENT
PO BOX 667
MANSFIELD WA 98830

Officer/Director/Trustee Two

MIKKI LAMAR
VICE PRESIDENT
PO BOX 51
MANSFIELD WA 98830

Officer/Director/Trustee Three

JENNIFER WITTIG
TREASURER
PO BOX 732
MANSFIELD WA 98830

Officer/Director/Trustee Four

DAWN ERICSON
SECRETARY
PO BOX 201
PATEROS WA 98846

Organization’s website
Organization’s email CHAMBEROFMANSFIELD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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