FORM 1023-EZ for HAIDA ROOTS

Field Data
EIN 84-2997493
Case Number EO-2019305-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAIDA ROOTS
Organization’s Mailing Address PO BOX 78075
City SEATTLE
State WA
ZIP 98178
Accounting period End 9
Primary contact name SONDRA S CUNNINGHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONDRA S CUNNINGHAM
PRESIDENT
8312 39TH AVE S
SEATLLE WA 98118

Officer/Director/Trustee Two

VICTORIA SEGUNDO
SECRETARY
10452 FOREST AVE S
SEATTLE WA 98178

Officer/Director/Trustee Three

JEANNE JIMENEZ
TREASURER
5610 S 121ST STREET
SEATTLE WA 98178

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 SONDRA S CUNNINGHAM
Signature Title PRESIDENT
Signature Date 10/30/19

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