FORM 1023-EZ for HERSHEY HOUSING
| Field | Data |
|---|---|
| EIN | 84-4433141 |
| Case Number | EO-2021085-000416 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HERSHEY HOUSING |
| Organization’s Mailing Address | 19310 RIDGE RD SW |
| City | VASHON |
| State | WA |
| ZIP | 98070 |
| Accounting period End | 12 |
| Primary contact name | BLYTHE BARTLETT DEINES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MATTHEW DEINES
PRESIDENT
19310 RIDGE RD SW
VASHON WA 98070
Officer/Director/Trustee Two
BRIDGET WEBB
OFFICER
9919 SW 211 TH PL
VASHON WA 98070
Officer/Director/Trustee Three
SHANNON FLORA
OFFICER
10223 SW TILLICUM LN
VASHON WA 98070
Officer/Director/Trustee Four
STEPHANIE PRATT
OFFICER
5369 SMITH RIDGE RD
BELLINGHAM WA 98226
Officer/Director/Trustee Five
BLYTHE DEINES
NON VOTING OFFICER
19310 RIDGE RD SW
VASHON WA 98070
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/3/2020 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P73 - Group Home (Long Term) |
| 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 | 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 | 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 | BLYTHE DEINES |
| Signature Title | NON VOTING OFFICER |
| Signature Date | 2/3/2021 |
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