FORM 1023-EZ for PUGET SOUND RESEARCH LABS

Field Data
EIN 45-3674403
Case Number EO-2016247-000007
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUGET SOUND RESEARCH LABS
Organization’s Mailing Address 2023 E SIMS WAY NUM 356
City PORT TOWNSEND
State WA
ZIP 98368
Accounting period End 12
Primary contact name DAN HELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN HELMAN
PRESIDENT
2023 E SIMS WAY NUM 356
PORT TOWNSEND WA 98368

Officer/Director/Trustee Two

V MCKELVEY
SECY TREAS
2023 E SIMS WAY NUM 356
PORT TOWNSEND WA 98368

Organization’s website WWW.PSRL.ORG
Organization’s email DAN.HELMAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2011
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U99 - Science and Technology Research Institutes, Services N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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
Signature Title
Signature Date

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