FORM 1023-EZ for SUMMIT COMMUNITY CENTER

Field Data
EIN 86-3715700
Case Number EO-2021130-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMMIT COMMUNITY CENTER
Organization’s Mailing Address 4605 88TH AVE SE
City MERCER ISLAND
State WA
ZIP 98040
Accounting period End 12
Primary contact name CAMERON FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY GORDON
DIRECTOR
4605 88TH AVE SE
MERCER ISLAND WA 98040

Officer/Director/Trustee Two

ERIN BREWER
DIRECTOR
2632 40TH AVE W
SEATTLE WA 98199

Officer/Director/Trustee Three

ALISON WINFIELD
DIRECTOR
6005 NE KELDEN PL
SEATTLE WA 98105

Officer/Director/Trustee Four

RAQUEL KARLS
DIRECTOR
5110 NE 54TH ST
SEATTLE WA 98105

Officer/Director/Trustee Five

TIM JAUREGUY
DIRECTOR
5110 NE 54TH ST
SEATTLE WA 98105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 NANCY GORDON
Signature Title DIRECTOR
Signature Date 5/6/2021

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