FORM 1023-EZ for UWSOD CLASS OF 2021

Field Data
EIN 82-3136907
Case Number EO-2017299-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UWSOD CLASS OF 2021
Organization’s Mailing Address 1959 NE PACIFIC ST D323
City SEATTLE
State WA
ZIP 98195-0001
Accounting period End 12
Primary contact name SAMUEL CHONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL SNIPES
PRESIDENT
1130 N 81ST ST
SEATTLE WA 98103-4403

Officer/Director/Trustee Two

JAYMAR GOLVEO
VICE PRESIDENT
5240 UNIVERSITY WAY NE APT 305
SEATTLE WA 98105-3595

Officer/Director/Trustee Three

SAMUEL CHONG
TREASURER
3486 77TH AVE SE
MERCER ISLAND WA 98040-3444

Officer/Director/Trustee Four

JOELLEN COATES
SECRETARY
5056 SAND POINT WAY NE
SEATTLE WA 98105-2915

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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
Signature Title
Signature Date

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