FORM 1023-EZ for HARAMBE DEVELOPMENT ORGANIZATION

Field Data
EIN 83-1922706
Case Number EO-2018292-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARAMBE DEVELOPMENT ORGANIZATION
Organization’s Mailing Address 11407 136TH AVENUE E
City PUYALLUP
State WA
ZIP 98374
Accounting period End 12
Primary contact name ROBERT STOVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT STOVER
PRESIDENT
11407 136TH AVENUE E
PUYALLUP WA 98374

Officer/Director/Trustee Two

JANELLE STOVER
TREASURER
11407 136TH AVENUE E
PUYALLUP WA 98374

Officer/Director/Trustee Three

JOSEPH BAHATI
VICE PRESIDENT, CHAIRPERSON
11407 136TH AVENUE E
PUYALLUP WA 98374

Officer/Director/Trustee Four

WILLIAM STOVER
SECRETARY
11407 136TH AVENUE E
PUYALLUP WA 98374

Officer/Director/Trustee Five

ELIZABETH STOVER
DIRECTOR
11407 136TH AVENUE E
PUYALLUP WA 98374

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 STOVER
Signature Title PRESIDENT
Signature Date 10/17/18

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