FORM 1023-EZ for PUGET SOUND ANGLER EDUCATION FISHERIES AND CONSERVATION CHAPTER

Field Data
EIN 47-1183479
Case Number EO-2018152-000062
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUGET SOUND ANGLER EDUCATION FISHERIES AND CONSERVATION CHAPTER
Organization’s Mailing Address 18609 182 AVE NE
City WOODINVILLE
State WA
ZIP 98077
Accounting period End 6
Primary contact name KARL BRACKMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL BRACKMANN
AUTHORIZED REPRESENTATIVE
18609 182 AVE NE
WOODINVILLE WA 98077

Officer/Director/Trustee Two

RON GARNER
PRESIDENT
24707 FLORENCE ACRES ROAD
MONROE WA 98272

Officer/Director/Trustee Three

MIKE GILCHRIST
VICE-PRESIDENT
2708 SW 346 STREET
FEDERAL WAY WA 98023

Officer/Director/Trustee Four

DAVID REESE
TREASURER
22711 83 AVE SE
WOODINVILLE WA 98072

Officer/Director/Trustee Five

LARRY BUCKLIN
SECRETARY
5002 86 AVE CT W
UNIVERSITY PLACE WA 98467

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/14
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N5D -
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KARL BRACKMANN
Signature Title AUTHORIZED REPRESENTATIVE
Signature Date 5/29/18

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