FORM 1023-EZ for PEARL HILL FIRE VICTIMS

Field Data
EIN 85-3323647
Case Number EO-2020295-000705
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEARL HILL FIRE VICTIMS
Organization’s Mailing Address 6695 NOON RD
City EVERSON
State WA
ZIP 98247-9609
Accounting period End 12
Primary contact name ROBERT HOLT HOLT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT HOLT
SECRETARY
6695 NOON RD
EVERSON WA 98247-9609

Officer/Director/Trustee Two

JESSICA HOLT
PRESIDENT
6695 NOON RD
EVERSON WA 98247-9609

Officer/Director/Trustee Three

JUDY CRNICH
VICE-PRESIDENT
1025 E KELLY RD
BELLINGHAM WA 98226-9731

Officer/Director/Trustee Four

DAVE CRNICH
TREASURER
1025 E KELLY RD
BELLINGHAM WA 98226-9731

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 Yes
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 Yes
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 ROBERT HOLT
Signature Title SECRETARY
Signature Date 10/14/2020

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