FORM 1023-EZ for ULTIMATE COFFEE

Field Data
EIN 85-2702686
Case Number EO-2020302-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ULTIMATE COFFEE
Organization’s Mailing Address 1203 16TH AVE E
City SEATTLE
State WA
ZIP 98112
Accounting period End 12
Primary contact name DORA MCCOTTER-HULETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORA MCCOTTER-HULETT
PRESIDENT
1203 16TH AVE EAST
SEATTLE WA 98112

Officer/Director/Trustee Two

RANDY HULETT
CHAIRMAN OF THE BOARD
1203 16TH AVE E
SEATTLE WA 98112

Officer/Director/Trustee Three

CHERYL JASZEWSKI
TREASURER
4580 POINT WHITE DRIVE NE
BAINBRIDGE ISLAND WA 98110

Officer/Director/Trustee Four

SAGE MCCOTTER
SECRETARY
1203 16TH AVE E
SEATTLE WA 98112

Officer/Director/Trustee Five

COURTNEY ACITELLI
DIRECTOR
9776 NE 125TH PLACE
KIRKLAND WA 98034

Organization’s website ULTIMATECOFFEE.ORG
Organization’s email DORA@ULTIMATECOFFEE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 DORA MCCOTTER-HULETT
Signature Title PRESIDENT
Signature Date 10/26/2020

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