FORM 1023-EZ for BRUSHFIRE

Field Data
EIN 81-5151520
Case Number EO-2018239-000798
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRUSHFIRE
Organization’s Mailing Address 430 PARKRIDGE ROAD
City BELLINGHAM
State WA
ZIP 98225
Accounting period End 12
Primary contact name WARREN GIBBONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WARREN GIBBONS
PRESIDENT
430 PARKRIDGE ROAD
BELLINGHAM WA 98225

Officer/Director/Trustee Two

MARCIA CATEY
SECRETARY / TREASURER
840 REVEILLE ST
BELLINGHAM WA 98229-8804

Officer/Director/Trustee Three

KIMBERLY KIRK
VICE PRESIDENT
3726 FIELDING AVE
BELLINGHAM WA 98229

Organization’s website
Organization’s email BUCK@BRUSH-FIRE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/16
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 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 WARREN GIBBONS
Signature Title PRESIDENT
Signature Date 8/24/18

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