FORM 1023-EZ for OUR PRIDE OUR VILLAGE

Field Data
EIN 83-4324635
Case Number EO-2019107-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR PRIDE OUR VILLAGE
Organization’s Mailing Address 535 PONTIUS AVE N 205
City SEATTLE
State WA
ZIP 98109
Accounting period End 12
Primary contact name CARMALITA DEETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARMALITA DEETON
PRESIDENT
535 PONTIUS AVENUE N 205
SEATTLE WA 98109

Officer/Director/Trustee Two

HOBERT RUFFIN
VICE PRESIDENT
535 PONTIUS AVENUE N 205
SEATTLE WA 98109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 CARMALITA DEETON
Signature Title PRESIDENT
Signature Date 4/15/19

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