FORM 1023-EZ for MS WHEELCHAIR WASHINGTON-AMERICA

Field Data
EIN 83-3338312
Case Number EO-2019039-000477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MS WHEELCHAIR WASHINGTON-AMERICA
Organization’s Mailing Address 7957 CARSON RD
City BLAINE
State WA
ZIP 98230-9792
Accounting period End 12
Primary contact name KYANN FLINT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYANN FLINT
PRESIDENT
7957 CARSON RD
BLAINE WA 98230-9792

Officer/Director/Trustee Two

JANETTE FLINT
TREASURER
7957 CARSON RD
BLAINE WA 98230-9792

Officer/Director/Trustee Three

DOROTHEA WILSON
SECRETARY
3709 DANA RD
BELLINGHAM WA 98225-1043

Officer/Director/Trustee Four

KARIISA MARTIN
BOARD MEMBER
3601 VERMONT ST
BELLINGHAM WA 98226-4381

Officer/Director/Trustee Five

SIRRE GEPPERT
BOARD MEMBER
3601 VERMONT ST
BELLINGHAM WA 98226-4381

Organization’s website MSWHEELCHAIRWASHINGTON.WORDPRESS.COM
Organization’s email WASHINGTON@MSWHEELCHAIRAMERICA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 KYANN FLINT
Signature Title PRESIDENT
Signature Date 2/4/19

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