FORM 1023-EZ for NORTHWEST VIDEO GAME MUSEUM
| Field | Data |
|---|---|
| EIN | 85-1303786 |
| Case Number | EO-2020160-000282 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTHWEST VIDEO GAME MUSEUM |
| Organization’s Mailing Address | PO BOX 2615 |
| City | LONGVIEW |
| State | WA |
| ZIP | 98632 |
| Accounting period End | 8 |
| Primary contact name | JOHN HANCOCK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOHN HANCOCK
PRESIDENT
3917 ESTATE DR
LONGVIEW WA 98632
Officer/Director/Trustee Two
DAVID FUTCHER
TREASURER
700 LINCOLN ST ST 200
KELSO WA 98626
Officer/Director/Trustee Three
JUSTIN LACLAIR
SECRETARY
12348 N OLD MONETA RD
MONETA VA 24121
Officer/Director/Trustee Four
JOHN ROSE
VICE PRESIDENT
PO BOX 2615
LONGVIEW WA 98632
| Organization’s website | HTTP://NWVGM.COM |
|---|---|
| Organization’s email | NWVGMUSEUM@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/27/2020 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A57 - Science and Technology Museums |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JOHN HANCOCK |
| Signature Title | PRESIDENT |
| Signature Date | 6/4/2020 |
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